DEATH CERTIFICATE

CARRIE WATTS

Date:    18 June 1944
Cert:    16578 
Place of Death: County: Knott   City or Town: Rural Sassafras
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:  Rural Sassafras 
Full Name:  Carrie WATTS 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Female, White, Married
Husband or Wife of:  Clifton WATTS
Age of husband or wife if alive: 58 years
Birth date of deceased:  18 September 1884 
Age: 59 years, 09 months, 00 days
Birthplace:  May, Ky. 
Occupation:  House wife 
Industry or business: (blank)
Father Name:   Bill FRANKLIN
Father Birthplace: Knott Co. 
Mother Maiden Name: Nancy Anne COMBS 
Mother Birthplace:  Knott Co., Ky. 
Informant: Clifton WATTS, Sassafras, Ky. 
Burial Place:  Cornett Hill 
Date:  20 June 1944 
Signature of funeral director: Maggard, Hazard, Ky.
Date received by local registrar:  10 July 1944 
Registrar's Signature:  Ida Livingston
Date of Death:  18 June 1944 
I hereby certify that I attended deceased from 18 June 1944 to 18 June 1944, that I last saw him alive on 18 June 1944, and that death occurred on the date stated above at 3:00 p.m.
Immediate cause of death:  Shock 
Duration: 02 hours
Due to:  Crushed pelvis with ruptured (illegible) 
Major findings of operations: (blank)
Accident, suicide, or homicide: accident
Date of occurrence: 18 June 1944
Where did injury occur: hyway
While at work:  no
Means of injury: Car accident
Signature & Address: Chris S. Jackson, M.D., Hazard, Ky.
Date signed:  08 July 1944 
Transcribed by Debbie Tamborski, 26 November 2010