Date:    11 November 1946
Cert:    24393 
Place of Death: County: Knott   City or Town: Clear Creek (P.O. Fisty)
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town:  Clear Creek 
Full Name:   Rachel RICHIE 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Female, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  17 October 1930
Age:  16 years, 00 months, 25 days
Birthplace:  Knott 
Occupation:  (blank) 
Industry or business: School girl
Father Name:  Doug RICHIE 
Father Birthplace: Knott 
Mother Maiden Name:  Cora GRIGSBY  
Mother Birthplace:   Breathitt 
Informant:  Cora RICHIE, Clear Creek, Ky. (Fisty) 
Burial Place:   Clear Creek Cem. 
Date:  13 November 1946 
Signature of funeral director:  Engle's, Hazard, Ky.
Date received by local registrar:  15 November 1946 
Registrar's Signature:  Mrs. Rose B. Craft
Date of Death:  11 November 1946 
I hereby certify that I attended deceased from 02 October 1946 to 01 November 1946, that I last saw him alive on 01 November 1946, and that death occurred on the date stated above at 7 p.m.
Immediate cause of death:  Tuberculosis Pulmonary 
Duration: (blank)
Due to:  (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  S. M. Richie, M.D., Hazard, Ky.
Date signed:  12 November 1946 
Transcribed by Debbie Tamborski, 14 December 2010