DEATH CERTIFICATE

OSCAR SLONE SHORT

Date  11 November 1919
Cert: #  30399
Name:  Oscar Slone SHORT
Male, White, Single
Age: 09 months, 09 days
Place of Death: Voting Precinct Hindman, Knott Co., KY
Birth Date:  02 March 1919
Occupation:  (blank)
Place of Birth:  Knott Co., Ky.
Name of Father:  Wilts SHORT
Birthplace Father:  Knott Co., Ky.
Maiden Name of Mother:  Ella SLONE
Birthplace Mother:  Knott Co., Ky.
Informant:  (blank)
Death Date:  11 November 1919
Cause of Death:  Pneumonia of the lungs
Signed:  M. F. Kelley, M.D.
Burial Place:  Short Cemetery
Date of Burial:  12 November 1919
Undertaker:  Wilse Short, Hindman, Ky.
File Date:  07 December 1919
Transcribed by Debbie Tamborski, 20 November 2008