DEATH CERTIFICATE

 MILLARD SEXTON

Date:   27 September 1942
Cert:   22715 
Place of Death: County: Knott Co.    City or Town: Rural
Name of Hospital or Institution: none
Length of stay in hospital or community: 01 year, 06 months
Usual Residence of Deceased: State: Kentucky  County: Knott Co.
City or Town: Mallie     Rural
Full Name:  Millard SEXTON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  01 October 1899
Age: 43 years
Birthplace:  Knott Co., Ky.
Occupation:  None
Industry or business: None
Father Name:  Dock SEXTON 
Father Birthplace:  Knott Co., Ky.
Mother Maiden Name:  Eliza Jane LUCAS
Mother Birthplace:  Letcher Co., Ky.
Informant:  Eliza Jane SHORT, Mallie, Ky.
Burial Place:  Mallie, Ky.
Date:  28 September 1942
Signature of funeral director: none family, Mallie
Date received by local registrar:  10 October 1942
Registrar's Signature:  Ida Livingston
Date of Death:  27 September 1942
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death: Not known to be sure but appeared to be consumption
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: Eliza JANE SHORT, Mallie
Date signed:  29 September 1942
Transcribed by Debbie Tamborski, 18 October 2010