DEATH CERTIFICATE

EDDIE LEE WATTS

Date:    02 June 1948
Cert:    17043 
Place of Death: County: Knott  City or Town: Lackey, Ky. Rural
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Mousie     Rural 
Full Name:  Eddie Lee WATTS 
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:  18 May 1936 
Age:  12 years, 00 months, 14 days
Birthplace:  Mousie, Ky. 
Occupation:  School boy 
Industry or business:  (blank)
Father Name:  Hagar WATTS 
Father Birthplace:  Knott Co., Ky. 
Mother Maiden Name:  Alafair CONLEY 
Mother Birthplace:  Knott Co., Ky. 
Informant:  Mrs. Jahoza CONLEY, Mousie, Ky. 
Burial Place:   Mousie, Ky. 
Date:  04 June 1948 
Signature of funeral director:  W. J. Ryan, Martin, Ky.
Date received by local registrar: 22 August 1948 
Registrar's Signature:  Rose B. Craft
Date of Death:  02 June 1948 
I hereby certify that I attended deceased from 31 May 1948 to 02 June 1948, that I last saw him alive on 02 June 1948, and that death occurred on the date stated above at 7:00 a.m.
Immediate cause of death:  circulatory failure 
Duration: (blank)
Due to:  3rd degree burns
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. M. Aker, M.D., Lackey, Ky.
Date signed:  10 August 1948 
Transcribed by Debbie Tamborski, 29 December 2010