Date:  09 October 1949
Cert:  21235 
Place of Death: County: Knott      City or Town: Rural
Length of stay (in this place): All of Life
Street address or location:  Mousie
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: rural     Street Address: Mousie, Ky.
Full Name:  Ottie May SHORT
Date of Death:  09 October 1949
Sex, Color/Race, Marital Status: Female, White, Never Married
Date of Birth:  07 June 1933
Age:  16 years
Usual Occupation:  None
Kind of Industry or business: None
Birthplace:  Knott Co., Ky.
Father's Name:  Aldo SHORT
Mother's Maiden Name:  Dora SLONE
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant:  Aldo SHORT
Disease or condition directly leading to death:  Grand Mal
Interval between onset and death:  (blank)
Due to:  (blank)
Other significant conditions: General Debility
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
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 1939 to (blank), that I last saw the deceased alive on (blank), and that death occurred at 12 p.m., from the causes and on the date stated above.
Date signed:  18 October 1949
Address:  Garrett, Ky.
Signature:  C. B. Ison, M.D.
Burial, Cremation or Removal:  Burial
Date:  11 October 1949
Name of Cemetery or Crematory:  Combs
Location:  Mousie, Ky.
Date received by local registrar: 21 October 1949
Registrar's Signature:  Rose B. Craft
Funeral director & address:  Hindman Funeral Home
Transcribed by Debbie Tamborski, 08 January 2011