Date: 25 July 1951
Cert: 14594
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: Rose Ann DIALS
Date of Death: 25 July 1951
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth: unknown
Age: app. 80 years
Usual Occupation: Housewife
Kind of Industry or business: Keeping house
Birthplace: Knott Co., Ky.
Father's Name: Fielding AMBURGEY
Mother's Maiden Name: Malissa DAILS
Was deceased ever in armed forces: (blank)
Social Security No.: None
Informant: Mrs. PRATT
Disease or condition directly leading to death: Senility
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 (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: (blank)
Address: (blank)
Signature: J. W. Duke
Burial, Cremation or Removal: Burial
Date: 26 July 1951
Name of Cemetery or Crematory: Family Cemetery
Location: Garner, Ky.
Date received by local registrar: 31 July 1951
Registrar's Signature: Rose B. Craft
Funeral director & address: John N. Taul, Hindman,
Ky.
Transcribed by Debbie Tamborski, 19 January 2011 |