DEATH CERTIFICATE

RALIEGH SHORT

Date  04 February 1934
Cert:  17602
Name:  Raliegh SHORT
Place of Death: Voting Pct. , Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Male, White, Single
Husband or Wife of: None
Birth Date:  01 January 1910
Age: 24 years, 01 months, 01 days
Occupation:  Farmer
Place of Birth:  Ky.
Name of Father:  Alex SHORT
Birthplace Father:  Knott Co.
Maiden Name of Mother:  Minnie HALL
Birthplace Mother:  Knott
Informant:  (blank)
Death Date:  04 February 1934
Cause of Death:  Suicide, gun shot wound
Signed:  M. F. Kelly, M.D., Hindman, Ky.
Burial Place:  Short Cemetery
Date of Burial:  05 February 1934
Undertaker:  Alex Short, Mallie, Ky.
File Date:  10 June 1934
Transcribed by Debbie Tamborski, 24 July 2009