Date:  06 June 1949
Cert:  16789 
Place of Death: County: Knott   City or Town: Carrie, Ky. Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town: Carrie   Rural     Street Address: (blank)
Full Name:  Henry Louis SHORT
Date of Death:  06 June 1949
Sex, Color or Race, Marital Status: Male, White, (blank)
Date of Birth:  13 September 1876
Age:  72 years, 08 months, 23 days
Usual Occupation:  (blank)
Kind of Industry or business: (blank)
Birthplace:  Kentucky
Father's Name:  Dan SHORT
Mother's Maiden Name:  Charlotte HOLLIFIELD
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Mrs. Ibby SHORT
Disease or condition directly leading to death:  (blank)
Interval between onset and death:  (blank)
Due to:  Heart failure
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
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:  31 August 1949
Address:  Hindman, Ky.
Signature:  J. W. Duke, M.D.
Burial, Cremation or Removal: Burial
Date:  07 June 1949
Name of Cemetery or Crematory: Short Cemetery
Location:  Carrie, Knott, Ky.
Date received by local registrar: 31 August 1949
Registrar's Signature:  Rose B. Craft
Funeral director & address:  Friends, Carrie, Ky.
Transcribed by Debbie Tamborski, 08 January 2011