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 |