Date:  29 July 1954
Cert:  26468 
Place of Death: County: Knott      City or Town: Mallie - Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution:  (blank)
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Mallie, Ky. - Rural    If rural give location: (blank)
Full Name:  Manda SHORT 
Date of Death:  29 July 1954 
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth:  15 March 1869 
Age:  85 years
Usual Occupation:  Housewife
Kind of Industry or business: (blank)
Birthplace:  Knott Co., Ky. 
Father's Name:  Allen MARTIN 
Mother's Maiden Name:  Rosana SLONE 
Was deceased ever in armed forces: (blank)
Social Security No.:  (blank)
Informant:  Hiram SHORT 
Disease or condition directly leading to death: Disease of the heart and senility
Interval between onset and death:  (blank)
Due to:  (blank)
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 14 January 1954 to 29 July 1954, that I last saw the deceased alive on (blank), and that death occurred at (illegible), from the causes and on the date stated above.
Date signed:  07 January 1955
Address:  Hindman, Ky.
Signature:  M. F. Kelley
Burial, Cremation or Removal: Burial
Date:  31 July 1954
Name of Cemetery or Crematory:  Short Fork
Location:  Pippapass, Ky.
Date received by local registrar: 07 February 1955
Registrar's Signature: Myrtle Slone By: L. B.
Funeral director & address:  John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 23 February 2011