Date: 07 February 1953
Cert: 10662
Place of Death: County: Knott
City or Town: Hindman, Ky.
Length of stay (in this place): (blank)
Street address or location: Home
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Hindman, Ky. If rural give
location:
(blank)
Full Name: Louise CORNETT
Date of Death: 07 February 1953
Sex, Color or Race, Marital Status: Female, White, Widow
Date of Birth: 16 November 1869
Age: 83 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: Joseph MULLINS
Mother's Maiden Name: Liza HARRISS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Tommy CORNETT
Disease or condition directly leading to death: Disease
of the heart and senility
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
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 06 February
1953 to
07 February 1953, that I last saw the deceased alive on 07
February 1953, and
that death occurred at 5:15 a.m., from the causes and on the
date stated above.
Date signed: 16 March 1953
Address: Hindman, Ky.
Signature: M. F. Kelley, M.D.
Burial, Cremation or Removal: Burial
Date: 1953
Name of Cemetery or Crematory: Cornett Cemetery
Location: Hindman, Ky.
Date received by local registrar: 25 April 1953
Registrar's Signature: Mrs. Rose B. Craft
Funeral director & address: John Everage, Hindman,
Ky.
Transcribed by Debbie Tamborski, 07 February 2011 |