Date: 23 October 1949
Cert: 23448
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): All of Life
Street Address or Location: Sassfras, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
location: Sassfras, Ky.
Full Name: Nancy SMITH ASHLEY
Date of Death: 23 October 1949
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth: 29 April 1863
Age: 86 years
Usual Occupation: Housewife
Kind of Industry or business: Keeping house
Birthplace: Knott Co., Ky.
Father's Name: Jerry SMITH
Mother's Maiden Name: Betty STACY
Was deceased ever in armed forces: (blank)
Social Security No.: None
Informant: Barbara Ellen ASHLEY
Disease or condition directly leading to death: Senility
Interval between onset and death: (blank)
Due to: Natural Causes
Other significant conditions: (blank)
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 July 1949 to 23
October 1949, that I last saw the deceased alive on 22 October
1949, and
that death occurred at 1 p.m., from the causes and on the
date stated above.
Date signed: 29 October 1949
Address: Allock
Signature: A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date: 25 October 1949
Name of Cemetery or Crematory: Smith
Location: Smithsboro, Ky.
Date received by local registrar: 03 November 1949
Registrar's Signature: Rose B. Craft
Funeral director & address: Hindman
Funeral Home, J. M. Taul, F.D.
Transcribed by Debbie Tamborski, 02 January 2011 |