Date:   14 June 1956
Cert: #56-16984
Place of Death: County: Knott  City or Town:  Smithboro - Rural
Length of stay (in this place): (blank)
Full Name of Hospital or Institution:  (blank)
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  Smithboro           Residence on a Farm?:  Yes
Street Address: (blank)     Residence inside City Limits?:  No
Full Name:  Melvina FRANCIS 
Date of Death:  14 June 1956 
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth:  03 April 1869 
Age:  87 years
Usual Occupation:  Housewife
Kind of Industry or business: (blank)
Birthplace:  Knott Co., Ky. 
Father's Name:   Wm. SMITH
Mother's Maiden Name:  Martha ASHLEY 
Was deceased ever in armed forces:  (blank)
Social Security No.: (blank)
Informant:   Dorothy AMBURGEY
Disease or condition directly leading to death: Cerebral Apoplexy
Interval between onset and death:  02 months
Due to (b):  Hypertensive Heart Disease
Interval between onset and death:  05 years
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 01 May 1956 to 14 June 1956, that I last saw the deceased alive on 12 June 1956, and that death occurred at 10 p.m., from the causes and on the date stated above.
Date signed:   09 July 1956
Address:  Allock
Signature:  A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date:  16 June 1956
Name of Cemetery or Crematory:  Combs Cem.
Location:   Smithboro, Ky.
Date received by local registrar:  21 August 1956
Registrar's Signature: Myrtle Slone
Funeral director & address:  John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 04 April 2012