Date: 10 June 1954
Cert: #16296
Place of Death: County: Knott
City or Town: Amburgy
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Amburgy If rural give
location:
(blank)
Full Name: Mary FRANKLIN
Date of Death: 10 June 1954
Sex, Color or Race, Marital Status: Female, White, Widow
Date of Birth: 05 May 1872
Age: 82 years
Usual Occupation: (blank)
Kind of Industry or business: Housewife
Birthplace: Knott Co., Ky.
Father's Name: Willie GENT
Mother's Maiden Name: Nancy WATTS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Garland FRANKLIN
Disease or condition directly leading to death: Cerebral
Apoplexy
Interval between onset and death: 02 months
Due to (b): Hypertensive Heart Disease
Due to (c): Senility
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 10 April 1954 to
10 June 1954, that I last saw the deceased alive on 2:10 a.m., and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 21 June 1954
Address: Allock
Signature: A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date: 11 June 1954
Name of Cemetery or Crematory: Franklin Cemetery
Location: Amburgy, Ky.
Date received by local registrar: 24 June 1954
Registrar's Signature: Mrs. Rose B. Craft
Funeral director & address: John Everage, Hindman,
Ky.
Transcribed by Debbie Tamborski, 12 March 2011 |