Date:  24 February 1950
Cert:  10347 
Place of Death: County: Knott   City or Town: Mousie, Ky. Rural
Length of stay (in this place): (blank)
Full name of hospital or institution:  (blank)
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Mousie   Rural    Street Address: (blank)
Full Name:  Chester SHORT
Date of Death:  24 February 1950
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth:  24 February 1950
Age:  Under 01 hours
Usual Occupation:  Infant
Kind of Industry or business: (blank)
Birthplace:  Mousie, Knott Co., Ky.
Father's Name:  Arnold SHORT
Mother's Maiden Name:  Hester MOORE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Mrs. Margaret MOORE
Disease or condition directly leading to death:  unknown
Interval between onset and death:  (blank)
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: Midwife reports that baby was black at birth and lived only 01 hour
Autopsy:  No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to (blank), that I last saw the deceased alive on (blank), and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  (blank)
Address:  (blank)
Signature:  J. W. Duke, M.D.
Burial, Cremation or Removal:  Burial
Date:  24 February 1950
Name of Cemetery or Crematory:  Moore Cemetery
Location:  Mousie, Knott, Ky.
Date received by local registrar: 11 May 1950
Registrar's Signature:  Rose B. Craft
Funeral director & address:  Friends & Relatives, Mousie, Ky.
Transcribed by Debbie Tamborski, 16 January 2011