Date: 31 March 1953
Cert: 16997
Place of Death: County: Knott
City or Town: Emmalena, Ky.
Length of stay (in this place): (blank)
Street address or location: Died at home on Lower Troublesome
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: (blank) If rural give
location:
(blank)
Full Name: Cyntha FULLER
Date of Death: 31 March 1953
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 24 October
Age: 81 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: Ben RITCHIE
Mother's Maiden Name: Anna ? (transcribed as written)
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: (blank)
Disease or condition directly leading to death:
arteriosclerotic heart disease
Interval between onset and death: 10 years
Due to: arteriosclerosis
Interval between onset and death: 15 years
Other significant conditions: cerebral vascular injury with
rt. hemiplegia
Interval between onset and death: 06 days
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
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 November
1948 to 30 March 1953, that I last saw the deceased alive on
30 March 1953, and that death occurred at 2:00 a.m., from the
causes and on the date stated above.
Date signed: 13 April 1953
Address: Hindman, Ky.
Signature: D. G. Barker, M.D.
Burial, Cremation or Removal: Burial
Date: 01 April 1953
Name of Cemetery or Crematory: Fuller Cemetery
Location: Emmalena, Ky.
Date received by local registrar: 16 August 1953
Registrar's Signature: Rose B. Craft By: L. B.
Funeral director & address: John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 07 February 2011 |