Date: 29 September 1944
Cert: 12999
Place of Death: County: Knott City or
Town: Anco (rural)
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: Anco (Rural)
Full Name: Shelby 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: 08 November 1943
Age: 10 months, 18 days
Birthplace: West Virginia
Occupation: None
Industry or business: (blank)
Father Name: Angelo SEXTON
Father Birthplace: West Virginia
Mother Maiden Name: (?Dirlton? illegible) COMBS
Mother Birthplace: Perry County, Ky.
Informant: Engle's Funeral Home, Hazard, Ky.
Burial Place: Allais, Ky.
Date: 27 September 1944
Signature of funeral director: Casket purchased from
Engles, Hazard, Ky.
Date received by local registrar: 19 March 1945
Registrar's Signature: Rose B. Craft
Acting Registrar Per B. Carns
Date of Death: 26 September 1944
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: Septic sore throat upper
respiratory infection
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: J. R. Aker, M.D., Anco, Ky.
Date signed: 16 March 1945
Transcribed by Debbie Tamborski, 22 November 2010 |