Date: 27 December 1954
Cert: 26127
Place of Death: County: Knott
City or Town: Rural - Redfox
Length of stay (in this place): (blank)
Street address or location: Home
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Rural - Red Fox If rural give
location:
(blank)
Full Name: Irene CLAYTON
Date of Death: 27 December 1954
Sex, Color or Race, Marital Status: Female, C, Married
Date of Birth: 06 January 1905
Age: 49 years
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace: Gainesville, Alabama
Father's Name: (blank)
Mother's Maiden Name: Elaine HAWKINS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: J. H. CLAYTON
Disease or condition directly leading to death: Hypertensive
Heart Disease
Interval between onset and death: 03 years
Due to: Decompensated Heart
Interval between onset and death: 03 months
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 January 1954 to
27 December 1954, that I last saw the deceased alive on 26
December 1954, and
that death occurred at 4 a.m., from the causes and on the
date stated above.
Date signed: 29 December 1954
Address: Allock
Signature: A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date: 01 January 1955
Name of Cemetery or Crematory: Family
Location: Red Fox, Ky.
Date received by local registrar: 03 January 1955
Registrar's Signature: Myrtle Slone
Funeral director & address: Maggard & Garrett
Funeral Home, Hazard, Ky.
Transcribed by Debbie Tamborski, 23 February 2011 |