DEATH CERTIFICATE

LUCY BEVERLY

Date:   06 August 1956
Cert: # 56-27254
Place of Death: County: Knott   City or Town:  Handshoe-Rural
Length of stay (in this place): (blank)
Full Name of Hospital or Institution:  (blank)
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Handshoe           Residence on a Farm?:   Yes
Street Address: (blank)     Residence inside City Limits?:  No
Full Name:    Lucy BEVERLY
Date of Death:  06 August 1956 
Sex, Color or Race, Marital Status:  Female, White, Widowed
Date of Birth:    29 April 1873
Age:  83 years
Usual Occupation:  (blank)
Kind of Industry or business: (blank)
Birthplace:   Ky.
Father's Name:   Wilson HANDSHOE
Mother's Maiden Name:   Armanda SHEPHERD 
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant:  Susie WHITE 
Disease or condition directly leading to death: Paralyzed
Interval between onset and death:  03 days
Due to: (blank)
Other significant conditions: Old age
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Describe how injury occurred:  (blank)
Time of injury:  (blank)
Injury occurred at work: (blank)
Place of injury: (blank)
City, Town or Location, County, State: (blank)
I hereby certify that I attended deceased from 20 July 1956 to 06 August 1956, that I last saw the deceased alive on 01 August 1956, and that death occurred at 3 a.m., from the causes and on the date stated above.
Date signed:   15 January 1957
Address:  Garrett, Ky. 
Signature:    Mark Dempsey, M.D.
Burial, Cremation or Removal: Burial
Date:  07 August 1956 
Name of Cemetery or Crematory:   Family
Location:  Handshoe, Ky.
Date received by local registrar:  21 January 1957
Registrar's Signature: Myrtle Slone
Funeral director & address:  Hall Bros. F. Home, Martin, Ky., B.C. Hall
Transcribed by Debbie Tamborski, 25 April 2012