Date:  27 January 1956
Cert:  #56-3443
Place of Death: County: Knott      City or Town: Rural - Lackey
Length of stay (in this place): (blank)
Name of Hospital or Institution: Stumbo Hospital
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town: Rural     Street Address: Betty, Ky.
Full Name:  George W. COX
Date of Death:  27 January 1956
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  22 February 1886
Age: 69 years 
Usual Occupation:  Merchant
Kind of Industry or business:  Store
Birthplace:   Knott Co., Ky.
Father's Name:  J. W. COX
Mother's Maiden Name:  Eliza CASTLE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Mrs. Hattie COX
Disease or condition directly leading to death:  Myocardial Infarction
Interval between onset and death:  30 minutes
Due to (b): Arteriosclerotic Heart Disease
Interval between onset and death:  Several years
Other significant conditions: Previous Coronary thrombosis October 1954
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 October 1954 to 27 January 1956, that I last saw the deceased alive on 24 January 1956, and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  30 January 1956
Address:  Lackey, Ky.
Signature:  Charles L. Roach, M.D.
Burial, Cremation or Removal: Burial
Date:  30 January 1956
Name of Cemetery or Crematory:  Cox Cemetery
Location:  Betty, Knott Co., Ky.
Date received by local registrar:  06 February 1956
Registrar's Signature: Myrtle Slone
Funeral director & address:  John N. Taul, Mt. Sterling, Ky.,  Eastin - Richey Funeral Home
Transcribed by Debbie Tamborski, 25 March 2012