DEATH CERTIFICATE

JAMES RALPH SHORT

Date 23 September 1931
Cert: #  27205
Name:  James Ralph SHORT
Place of Death: Voting Pct. #18 Upper Caney, Knott Co., KY
Male, White, Single
Husband or Wife of:  (blank)
Birth Date:  30 March 1930
Age: 01 years, 06 months, 23 days
Occupation:  At Home
Place of Birth: Pippapass, Ky.
Name of Father:  Alec SHORT
Birthplace Father:  Pippapass, Ky.
Maiden Name of Mother:  Elzie MOORE
Birthplace Mother:  Pippapass, Ky.
Informant:  Nancy OWENS, Raven, Ky.
Death Date:  23 September 1931
Cause of Death:  Dysentery
Signed: T. J. Chandler, M.D.
Burial Place: Howard Cemetery 
Date of Burial:  24 September 1931
Undertaker:  Pearlie Short, Pippapass
File Date:  12 November 1931
Transcribed by Debbie Tamborski, 29 June 2009