Date:    23 February 1944
Cert:    09964 
Place of Death: County: Knott   City or Town:  Tina, Ky.
Street Number or Location:  Rural
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County:  Knott
City or Town: Tina     Rural 
Full Name:  Loren Edward TERRILL 
If Veteran Name War: (blank)
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:  30 September 1941 
Age: 02 years, 04 months, 23 days
Birthplace:  Knott Co., Ky.
Occupation:  None 
Industry or business: (blank)
Father Name:  Robert TERRILL 
Father Birthplace:  Breathitt Co., Ky. 
Mother Maiden Name:   Dorothy GAYHEART 
Mother Birthplace:   Ky., Knott Co., Ky. 
Informant:   Robert TERRILL, Tina, Ky.
Burial Place:  Tina, Ky. 
Date:   24 February 1944 
Signature of funeral director:  Harison WILLIAMS, Vest, Ky.
Date received by local registrar:   18 April 1944 
Registrar's Signature:  Ida Livingston
Date of Death:  23 February 1944 
I hereby certify that I attended deceased from 22 February 1944 to 23 February 1944, that I last saw him alive on 14 February 1944, and that death occurred on the date stated above at 10:30 p.m.
Immediate cause of death:  Pneumonia Lobar
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:  17 March 1944 
Transcribed by Debbie Tamborski, 25 November 2010