Date: 08 March 1943
Cert: 15294
Place of Death: County: Knott City or
Town: Mousie
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Mousie
Full Name: Claude TUTTLE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Infant
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 30 January 1943
Age: 01 months, 08 days
Birthplace: Mousie, Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Dave TUTTLE
Father Birthplace: Mousie, Ky.
Mother Maiden Name: Ada THORNSBERRY
Mother Birthplace: Kite, Ky.
Informant: Mrs. Bettie TUTTLE, Lackey, Ky.
Burial Place: Four - mile Cemetery, Mousie, Ky.
Date: 09 March 1943
Signature of funeral director: Family, Mousie, Ky.
Date received by local registrar: 16 April 1946
Registrar's Signature: Rose B. Craft acting Per B. Carns
Date of Death: 08 March 1943
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Pneumonia
Duration: (blank)
Due to: Pneumonia Lobar
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: C. B. Ison, M.D., Garrett, Ky.
Date signed: 16 April 1945
Transcribed by Debbie Tamborski, 29 October 2010 |