DEATH CERTIFICATE

D. L. FULLER

Date:  30 September 1953
Cert:  27437 
Place of Death: County: Knott      City or Town: Emmalena
Length of stay (in this place): (blank)
Street address or location:  (blank)
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  Emmalena      If rural give location: (blank)
Full Name:  D. L. FULLER
Date of Death:  30 September 1953
Sex, Color or Race, Marital Status:  Male, White, Widow
Date of Birth:  20 March 1870
Age:  83 years 
Usual Occupation:  Farmer
Kind of Industry or business: (blank)
Birthplace:  Knott Co., Ky.
Father's Name:  Arch FULLER
Mother's Maiden Name:  Dicie COMBS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Mrs. W. T. BYRD
Disease/condition directly leading to death: Coronary Occlusion
Interval between onset and death:  Instant
Due to:  Hypertension & arteriosclerosis
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 04 May 1953 to 30 September 1953, that I last saw the deceased alive on 02 June 1953, and that death occurred at a.m., from the causes and on the date stated above.
Date signed:  10 December 1953
Address:  Hazard, Ky.
Signature:  Martin Palmer, M.D.
Burial, Cremation or Removal:  Burial
Date:  02 October 1953
Name of Cemetery or Crematory:  Fuller Cemetery
Location:  Emmalena, Ky.
Date received by local registrar: 03 January 1954
Registrar's Signature:  Mrs. Rose B. Craft
Funeral director & address:  John Everage, Hindman, Ky. 
Transcribed by Debbie Tamborski, 07 February 2011