DEATH CERTIFICATE

LOUISE CORNETT

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