DEATH CERTIFICATE

EDITH SHORT

Date  29 July 1937
Cert:  19106
Name:  Edith SHORT
Place of Death: Voting Pct. Hindman, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Female, White, Single
Husband or Wife of:  (blank)
Birth Date:  23 September 1937
Age: 08 months, 06 days
Occupation:  (blank)
Place of Birth: Knott Co., Ky.
Name of Father:  Mart SHORT
Birthplace Father:  Hindman, Ky.
Maiden Name of Mother:  Sophia ADDAMS
Birthplace Mother:  Hindman, Ky.
Informant:  Sophia SHORT, Hindman, Ky.
Death Date:  29 July 1937
Cause of Death:  Dysentery
Signed:  M. F. Kelley, M.D., Hindman, Ky.
Burial Place:  Knott Co.
Date of Burial:  29 July 1937
Undertaker:  (blank)
File Date:  03 August 1937
Registrar:  Rhoda C. Kelley
Transcribed by Debbie Tamborski, 04 October 2009