Date: 15 January 1953
Cert: 01273
Place of Death: County: Knott
City or Town: Cordia, Ky. Rural
Length of stay (in this place): (blank)
Street address or location: Home
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Cordia Rural Street Address:
(blank)
Full Name: Nancy BUCK
Date of Death: 15 January 1953
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: February 1877
Age: 76 years
Usual Occupation: Housewife
Kind of Industry or business: Home
Birthplace: Ky.
Father's Name: Allen COMBS
Mother's Maiden Name: Pricilla DOBSON
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Carow RITCHIE
Disease or condition directly leading to death: Pneumonia
(Lobar)
Interval between onset and death: (blank)
Due to: (blank)
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 (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: 16 January 1953
Address: Hindman, Ky.
Signature: Jno. N. Taul (Coroner)
Burial, Cremation or Removal: Burial
Date: 18 January 1953
Name of Cemetery or Crematory: Riverside Cemetery
Location: Perry Co., Ky.
Date received by local registrar: 19 January 1953
Registrar's Signature: Rose B. Craft
Funeral director & address: Engle Funeral Home, Wm.
Engle, Jr., Hazard, Ky.
Transcribed by Debbie Tamborski, 07 February 2011 |