DEATH CERTIFICATE

RODA GILLEM

Date:  11 October 1952
Cert:  21729 
Place of Death: County: Knott      City or Town: Rural
Length of stay (in this place):  All of life
Street address or location:  Hall, Ky.
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Rural    If rural give precinct:  Hall, Ky.
Full Name:  Roda GILLEM
Date of Death:  11 October 1952
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth:  unknown
Age:  app. 72 years
Usual Occupation:  Housewife
Kind of Industry or business: Keeping house
Birthplace:  N. Carolina
Father's Name:  Andy SLONE
Mother's Maiden Name:  Luiza NAPIER
Was deceased ever in armed forces:  No
Social Security No.: (blank)
Informant:  Barney GILLEM
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 October 1952
Address:  Hindman, Ky.
Signature:  Jno. N. Taul  Coroner
Burial, Cremation or Removal:  Burial
Date:  13 October 1952
Name of Cemetery or Crematory:  Family Cemetery
Location:  Hall, Ky.
Date received by local registrar:  14 October 1952
Registrar's Signature:  Rose B. Craft
Funeral director & address:  John N. Taul, Hindman, Ky.
Transcribed by Debbie Tamborski, 24 January 2011