Date: 01 December 1952
Cert: 26314
Place of Death: County: Knott
City or Town: Lackey, Rural
Length of stay (in this place): 02 days
Name of Hospital or Institution: Stumbo Hospital
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
precinct: Smithsboro, Ky.
Full Name: May BROWN
Date of Death: 01 December 1952
Sex, Color or Race, Marital Status: Female, White,
Married
Date of Birth: 19 February 1916
Age: 36 years
Usual Occupation: Housewife
Kind of Industry or business: Keeping house
Birthplace: Perry County, Ky.
Father's Name: Thomas EVERSOLE
Mother's Maiden Name: Gemima HURT
Was deceased ever in armed forces: No
Social Security No.: None
Informant: Irvin BROWN
Disease/condition directly leading to death: Acute cardiac
failure
Interval between onset and death: (blank)
Due to: Toxemia of pregnancy
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 29 November
1952 to
01 December 1952, that I last saw the deceased alive on 01
December 1952, and
that death occurred at 9 a.m., from the causes and on the
date stated above.
Date signed: 03 December 1952
Address: Lackey, Ky.
Signature: C. M. Aker, M.D.
Burial, Cremation or Removal: Burial
Date: 03 December 1952
Name of Cemetery or Crematory: Family Cemetery
Location: Smithsboro, Knott, Ky.
Date received by local registrar: 15 December 1952
Registrar's Signature: Rose B. Craft
Funeral director & address: Jno. N. Taul, Hindman,
Ky.
Transcribed by Debbie Tamborski, 22 January 2011 |