Date:    20 December 1944
Cert:    27654 
Place of Death: County: Knott   City or Town: Hindman   Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky    County: Knott
City or Town:  Hindman     Rural 
Full Name:  Mattie TATE 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Female, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:   04 May 1904
Age:  40 years, 07 months, 16 days
Birthplace:  Rich Mt., Ark. 
Occupation:   Housework 
Industry or business: (blank)
Father Name:  C. F. TATE 
Father Birthplace:   Va. 
Mother Maiden Name:   Sarahan MAGGARD 
Mother Birthplace:   Ky. 
Informant:   Sarahan TATE, Hindman, Ky. 
Burial Place:   Amburgey 
Date:   21 December 1944 
Signature of funeral director:  Maggard's, Hazard, Ky.
Date received by local registrar:  30 December 1944 
Registrar's Signature: Ida Livingston Rose B. Craft Acting Reg.
Date of Death:  20 December 1944 
I hereby certify that I attended deceased from 01 November 1944 to 20 December 1944, that I last saw him alive on 20 December 1944, and that death occurred on the date stated above at 6 a.m.
Immediate cause of death:  Encephalitis with paralysis agitation
Duration: (blank)
Due to:  (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  M. F. Kelley, M.D., Hindman, Ky.
Date signed:  30 December 1944 
Transcribed by Debbie Tamborski, 25 November 2010