Date:  05 January 1954
Cert:  #5343
Place of Death: County: Knott      City or Town: Fisty
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town: Fisty    Street Address: (blank)
Full Name:  Willie BARNETT
Date of Death:  05 January 1954
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  07 March 1900
Age: 53 years
Usual Occupation:  Miner
Kind of Industry or business: (blank)
Birthplace:  Knott Co., Ky.
Father's Name:  Alfred BARNETT
Mother's Maiden Name:  Lanerer STACY
Was deceased ever in armed forces: (blank)
Social Security No.:  403-01-9352
Informant:  Loretta BARNETT
Disease or condition directly leading to death:  (blank)
Interval between onset and death:  (blank)
Due to:  Cancer
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
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 (blank) to (blank), that I last saw the deceased alive on (blank), and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  07 January 1954
Address:  Hindman, Ky.
Signature:  J. W. Duke
Burial, Cremation or Removal: Burial
Date:  09 January 1954
Name of Cemetery or Crematory:  Barnett Cemetery
Location:  Fisty, Ky.
Date received by local registrar: 08 January 1954
Registrar's Signature: Mrs. Rose B. Craft
Funeral director & address:  John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 17 March 2011