Date:  04 November 1955
Cert:  #23132
Place of Death: County: Knott    City or Town: Sassafras - Rural
Length of stay (in this place): (blank)
Street address or location:  Home
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Sassafras - Rural    Street Address: (blank)
Full Name:  Zellia Alice BROWN
Date of Death:  04 November 1955
Sex, Color or Race, Marital Status:  Female, White, Widowed
Date of Birth:  07 March 1870
Age: 85 years
Usual Occupation:  Housewife
Kind of Industry or business: none
Birthplace:  Beattyville, Ky.
Father's Name:  Richard LYONS
Mother's Maiden Name:  Unknown
Was deceased ever in armed forces:  no
Social Security No.: none
Informant:  Mrs. SHEPHARD (Granddaughter)
Disease or condition directly leading to death:  Senility
Interval between onset and death:  (blank)
Due to:  Anoemia
Interval between onset and death:  01 year
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 June 1955 to 04 November 1955, that I last saw the deceased alive on 04 November 1955, and that death occurred at 8 p.m., from the causes and on the date stated above.
Date signed:  09 November 1955
Address: Allock
Signature:  A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date:  06 November 1955
Name of Cemetery or Crematory:  Cornett Hill Cemetery
Location:  Sassafras, Ky. (Knott)
Date received by local registrar:  17 November 1955
Registrar's Signature: Myrtle Slone
Funeral director & address:  Maggard & Garrett Funeral Home, Hazard, Ky.
Transcribed by Debbie Tamborski, 10 June 2011