Date: 25 July 1949
Cert: 19066
Place of Death: County: Knott
City or Town: Mallie, Ky. Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: None
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Mallie Rural If rural
give precinct: Upper Troublesome
Full Name: Clabe SHORT
Date of Death: 25 July 1949
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 09 February 1889
Age: 60 years, 05 months, 16 days
Usual Occupation: Farmer
Kind of Industry or business: Farming
Birthplace: Hollybush, Ky.
Father's Name: Wilson SHORT
Mother's Maiden Name: Nancy SLONE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Mrs. Sallie SHORT
Disease or condition directly leading to death: myocardial
insufficiency
Interval between onset and death: 05 1/2 months
Due to (b): coronary thrombosis
Interval between onset and death: 05 1/2 months
Due to (c): Hypertension
Interval between onset and death: 02 years
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
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 27 December
1947 to 13 February 1949, that I last saw the deceased alive
on 13 February 1949, and that death occurred at ? (transcribed
as written), from the causes and on the date stated above.
Date signed: 29 August 1949
Address: Hindman, Ky.
Signature: D. G. Barker, M.D.
Burial, Cremation or Removal: Burial
Date: 27 July 1949
Name of Cemetery or Crematory: Short Cemetery
Location: Garner, Knott, Ky.
Date received by local registrar: 01 September 1949
Registrar's Signature: Rose B. Craft
Funeral director & address: Family & Friends, Mallie,
Ky.
Transcribed by Debbie Tamborski, 08 January 2011 |