Date:  14 January 1949
Cert:  03262 
Place of Death: County: Knott      City or Town: Dema
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Dema     Street Address: On Beaver Creek near mouth of Caney
Full Name:  Mary Terry
Date of Death:  14 January 1949
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth:  02 February 1865
Age:  83 years
Usual Occupation:  House work
Kind of Industry or business: Domestic
Birthplace:  Floyd Co., Ky.
Father's Name:  Henderson MOORE
Mother's Maiden Name:  Liza MOORE
Was deceased ever in armed forces: no
Social Security No.: (blank)
Informant:  Spencer SLOAN
Disease or condition directly leading to death:  This patient suffered stroke paralysis 09 years ago another stroke 02 years ago has been ill ever since second stroke
Interval between onset and death:  (blank)
Due to:  (blank)
Other significant conditions:  Senility
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 (blank) to (blank), that I last saw the deceased alive on (blank), and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  26 February 1949
Address:  Hindman, Ky.
Signature:  J. W. Duke, M.D.
Burial, Cremation or Removal:  Burial
Date:  16 January 1949
Name of Cemetery or Crematory:  Family Cemetery
Location:  Raven, Ky.
Date received by local registrar: 28 February 1949
Registrar's Signature:  Rose B. Craft
Funeral director & address:  W. J. Ryan, Martin, Ky.
Transcribed by Debbie Tamborski, 08 January 2011