DEATH CERTIFICATE

HAZARD SHORT

Date 09 February 1936
Cert:  33620
Name:  Hazard SHORT
Place of Death: Voting Pct. Upper Caney #8, Knott Co., KY
Residence:  (blank)
Length of residence: (blank)
Male, White, Married
Husband or Wife of:  Ebbie SPARKMAN
Birth Date:  22 July 1895
Age: 40 years, 06 months, 18 days
Occupation: Farmer
Place of Birth: Knott Co.
Name of Father:  H. C. SHORT
Birthplace Father:  Knott
Maiden Name of Mother:  Mandy (illegible)
Birthplace Mother:  Knott
Informant:  (illegible) CHILDERS, Mally, Ky.
Death Date:  09 February 1936
Cause of Death:  Shot in (illegible) by John L. Slone
Signed:  No Dr.
Burial Place:  H. C. Short
Date of Burial:  (illegible) February 1936
Undertaker:  (blank)
File Date:  16 February 1936
Registrar:  Henry Blair
Transcribed by Debbie Tamborski, 20 September 2009