DEATH CERTIFICATE

DAVID K. SHEPHERD

Date:    09 November 1946
Cert:    24392 
Place of Death: County: Knott   City or Town:  Tina
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:  Tina 
Full Name:  David K. SHEPHERD 
If Veteran Name War: World War II
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:   15 September 1918 
Age:  28 years,01 months, 24 days
Birthplace:  West, Ky. 
Occupation:  Farmer 
Industry or business:  (blank)
Father Name:  William SHEPHERD 
Father Birthplace:  Ky. 
Mother Maiden Name:  Renda NAPIER    
Mother Birthplace:   Ky. 
Informant:  Willie WALTERS, Hardburley, Ky. 
Burial Place:   Tina Cem. 
Date:  11 November 1946 
Signature of funeral director:  Engle's, Hazard, Ky.
Date received by local registrar:  24 November 1946 
Registrar's Signature:  Mrs. Rose B. Craft
Date of Death:  09 November 1946 
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:  Burned to death
Duration: (blank)
Due to:  Home in which man was sleeping burned.
Major findings of operations: (blank)
Accident, suicide, or homicide: Accident
Date of occurrence: 09 November 1946
Where did injury occur: In his home
While at work:  No
Means of injury: Fire
Signature & Address: J. W. Duke, M.D., Hindman, Ky.
Date signed:  30 November 1946 
Transcribed by Debbie Tamborski, 14 December 2010