Date: 07 December 1952
Cert: 26321
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): All of life
Street address or location: Carr Creek, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural Street
Address: Carr Creek, Ky.
Full Name: John S. FRANCIS
Date of Death: 07 December 1952
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 28 February 1896
Age: 56 years
Usual Occupation: Miner
Kind of Industry or business: Coal Mining
Birthplace: Knott Co., Ky.
Father's Name: Kelley FRANCIS
Mother's Maiden Name: Nancy Ann PIGMAN
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Mattie FRANCIS
Disease or condition directly leading to death: Heart
Attack
Interval between onset and death: Sudden
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: 11 December 1952
Address: Hindman, Ky.
Signature: Jno. N. Taul (Coroner)
Burial, Cremation or Removal: Burial
Date: 10 December 1952
Name of Cemetery or Crematory: Family Cemetery
Location: Carr Creek, Ky.
Date received by local registrar: 18 December 1952
Registrar's Signature: Rose B. Craft
Funeral director & address: John N. Taul, Hindman
Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 24 January 2011 |