DEATH CERTIFICATE

CHARLIE SHORT

Date:    29 September 1946
Cert:    26822 
Place of Death: County: Knott   City or Town: Pippapass, Ky. 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:  Pippapass 
Full Name:  Charlie SHORT 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Male, White, Married
Husband or Wife of:  Liza Jane SHORT
Age of husband or wife if alive: 70 years
Birth date of deceased:  (blank) 
Age:  73 years
Birthplace:  Knott 
Occupation:  Farmer 
Industry or business:  (blank)
Father Name:  Wilson SHORT 
Father Birthplace:  Knott 
Mother Maiden Name:   Nancy SLOAN 
Mother Birthplace:   Knott 
Informant:  Nancy OWENS, Pippapass 
Burial Place:   Short Cem. 
Date:  30 September 1946 
Signature of funeral director:  Engle's, Hazard, Ky.
Date received by local registrar: 16 December 1946 
Registrar's Signature:  Rose B. Craft
Date of Death:  29 September 1946 
I hereby certify that I attended deceased from 01 September 1946 to 29 September 1946, that I last saw him alive on 10 September 1946, and that death occurred on the date stated above at 9 p.m.
Immediate cause of death:  Disease heart and appoplexia
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:  M. F. Kelley, M.D., Hindman, Ky.
Date signed:  16 December 1946 
Transcribed by Debbie Tamborski, 15 December 2010