Date: 02 February 1952
Cert: 05684
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): All of life
Street address or location: Hindman, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
precinct: Hindman, Ky.
Full Name: John CORNETT
Date of Death: 02 February 1952
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 02 September 1871
Age: 80 years
Usual Occupation: Farmer
Kind of Industry or business: Farming
Birthplace: Knott Co., Ky.
Father's Name: Joseph CORNETT
Mother's Maiden Name: Susan CAUDILL
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Charlie CORNETT
Disease or condition directly leading to death:
Appoplexia
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 01 February
1952 to
02 February 1952, that I last saw the deceased alive on 01
February 1952, and
that death occurred at 8 p.m., from the causes and on the
date stated above.
Date signed: 15 February 1952
Address: Hindman, Ky.
Signature: M. F. Kelley
Burial, Cremation or Removal: Burial
Date: 03 February 1952
Name of Cemetery or Crematory: Family Cemetery
Location: Hindman, Ky.
Date received by local registrar: 15 February 1952
Registrar's Signature: Rose B. Craft
Funeral director & address: Jno. N. Taul, Hindman
Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 24 January 2011 |