DEATH CERTIFICATE

FRED UNDERWOOD

Date:    03 November 1944
Cert:    13009 
Place of Death: County: Knott   City or Town:  Lackey
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:  Lackey 
Full Name:  Fred UNDERWOOD 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Male, White, Married
Husband or Wife of:  Belle UNDERWOOD
Age of husband or wife if alive: (blank)
Birth date of deceased:   25 December 1881
Age: 63 years, 11 months, 08 days
Birthplace:  Wellston, Ohio 
Occupation:   Auto Mechanic 
Industry or business: Lackey Motors
Father Name:  John UNDERWOOD 
Father Birthplace:  Ohio 
Mother Maiden Name:  Margaret EXLINE 
Mother Birthplace:  Don't know 
Informant:  Mrs. Belle UNDERWOOD, Lackey, Ky. 
Burial Place:   Auxier, Ky. 
Date:  05 November 1944 
Signature of funeral director:  John Jones, Paintsville, Ky.
Date received by local registrar: 19 March 1945 
Registrar's Signature: Rose B. Craft acting Registrar Per B. Carns
Date of Death:  03 November 1944
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: 
Duration: (blank)
Due to:  High Blood pressure Cerebral Hemorrhage
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: Dr. M. M. Collins, M.D., Lackey, Ky.
Date signed:  19 March 1945 
Transcribed by Debbie Tamborski, 26 November 2010