Date: 25 January 1955
Cert: #03217
Place of Death: County: Knott City or Town:
Rural - Wiscoal
Length of stay (in this place): (blank)
Name of Hospital or Institution: Home
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Wiscoal - Rural Street Address: (blank)
Full Name: Carless Ezra CRAFT
Date of Death: 25 January 1955
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 23 September 1907
Age: 47 years
Usual Occupation: Janitor
Kind of Industry or business: General Motors
Birthplace: Va.
Father's Name: Archillis CRAFT
Mother's Maiden Name: Sarah PARSON
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Ima CRAFT
Disease/condition directly leading to death: Acute Heart
Failure
Interval between onset and death: Instant
Due to: Probably - Coronary occlusion
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 26 January 1955 to
26 January 1955, that I last saw the deceased alive on 26
January 1955, and
that death occurred at 7:00 p.m., from the causes and on the
date stated above.
Date signed: 31 January 1955
Address: Allock, Ky.
Signature: A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date: 27 January 1955
Name of Cemetery or Crematory: Franklin Cemetery
Location: (illegible) Fork, Ky.
Date received by local registrar: 01 February 1955
Registrar's Signature: Myrtle Slone
Funeral director & address: Engle Funeral Home,
Hazard, Ky., Wm. Engle, Jr.
Transcribed by Debbie Tamborski, 14 May 2011 |