Date: 23 November 1947
Cert: 27127
Place of Death: County: Knott City or
Town: Talcum, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Talcum Rural
Full Name: Monroe SHORT
If Veteran Name War: World War II
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 23 January 1923
Age: 24 years, 10 months, 00 days
Birthplace: Perry
Occupation: Lumberman
Industry or business: Pruett Lumber Co.
Father Name: Linvell SHORT
Father Birthplace: Perry Co.
Mother Maiden Name: Elsie RICHIE
Mother Birthplace: Perry Co.
Informant: Amel SHORT, Talcum, Ky.
Burial Place: Richie (Knott)
Date: 24 November 1947
Signature of funeral director: Engle's, Hazard, Ky.
Date received by local registrar: 29 November 1947
Registrar's Signature: Rose B. Craft
Date of Death: 23 November 1947
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Gun shot wound in chest
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: Homicide
Date of occurrence: 23 November 1947
Where did injury occur: (blank)
While at work: (blank)
Means of injury: Gun
Signature & Address: J. W. Duke, M.D., Hindman, Ky.
Date signed: 08 December 1947
Transcribed by Debbie Tamborski, 20 December 2010 |