Date:  23 October 1949
Cert:  25927 
Place of Death: County: Knott      City or Town: Red Fox, Ky.  Rural
Length of stay (in this place):  03 weeks
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  Red Fox  Rural      Street Address: (blank)
Full Name:  Minerva BURKHART
Date of Death:  23 October 1949
Sex, Color or Race, Marital Status: Female, White, Divorced
Date of Birth:  31 July 1880
Age:  69 years
Usual Occupation: Housewife
Kind of Industry or business: Housekeeping
Birthplace:  Morgan Co. in Ky.
Father's Name:  Jashua ELAM 
Mother's Maiden Name:  Mahala BAILEY
Was deceased ever in armed forces: No
Social Security No.:  None
Informant:  Hayden BURKHART
Disease or condition directly leading to death: (blank)
Interval between onset and death:  (blank)
Due to:  Pneumonia
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:
Address:
Signature:  J. W. Duke, M.D.
Burial, Cremation or Removal:  Burial
Date:  25 October 1949
Name of Cemetery or Crematory:  Smithtown Cemetery
Location:  Smithboro, Kentucky
Date received by local registrar:  04 November 1949
Registrar's Signature:  Rose B. Craft
Funeral director & address: Archie Craft, Whitesburg, Ky.
Note at page bottom: Had no doctor
Transcribed by Debbie Tamborski, 03 January 2011