Date:   13 December 1956
Cert: #56-25985
Place of Death: County: Knott      City or Town: Pine Top, Ky.
Length of stay (in this place):  No
Full Name of Hospital or Institution:  None - Rural
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Pine Top, Ky.     Residence on a Farm?:   Yes
Street Address: None       Residence inside City Limits?:  No
Full Name:    Ben CLOUD
Date of Death:  13 December 1956 
Sex, Color or Race, Marital Status:  Male, White, Married 
Date of Birth:   15 May 1926
Age:  30 years, 06 months, 28 days
Usual Occupation:  Miner
Kind of Industry or business: (blank)
Birthplace:  Letcher Co., Ky. 
Father's Name:    Chow CLOUD
Mother's Maiden Name:    Kate HAYNES
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Mrs. Ben CLOUD - wife  
Disease/condition directly leading to death: Cardiac Thrombosis 
Interval between onset and death:  Short
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Describe how injury occurred:  (blank)
Time of injury:  (blank)
Injury occurred at work: (blank)
Place of injury: (blank)
City, Town or Location, County, State: (blank)
I hereby certify that I attended deceased from (blank) to (blank), that I last saw the deceased alive on 13 December 1956, and that death occurred at unknown, from the causes and on the date stated above.
Date signed:   17 December 1956
Address:  Whitesburg, Ky. 
Signature:   Mrs. Archie Craft, Coroner
Burial, Cremation or Removal: Burial
Date:   15 December 1956
Name of Cemetery or Crematory:   Amburgey Cemetery
Location:   Pine Top, Ky.
Date received by local registrar:   21 December 1956
Registrar's Signature: Myrtle Slone
Funeral director & address:   Archie Craft, Whitesburg, Ky.
Transcribed by Debbie Tamborski, 26 April 2012