Date: 26 December 1954
Cert: 26469
Place of Death: County: Knott
City or Town: Hindman - Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Hindman - Rural If rural give
location:
(blank)
Full Name: Joan GREEN
Date of Death: 26 December 1954
Sex, Color or Race, Marital Status: Female, White,
Widowed
Date of Birth: 20 February 1874
Age: 80 years
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace: Clinton Co., Ky.
Father's Name: George W. Crabtree
Mother's Maiden Name: Norcissus Marlowe
Was deceased ever in armed forces: no
Social Security No.: no
Informant: George ELIAS
Disease/condition directly leading to death: appoplexia
paralysis
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
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 December
1954 to
26 December 1954, that I last saw the deceased alive on 25
December 1954, and
that death occurred at 8 p.m., from the causes and on the
date stated above.
Date signed: 07 February 1955
Address: Hindman, Ky.
Signature: M. F. Kelley, M.D.
Burial, Cremation or Removal: Burial
Date: 28 December 1954
Name of Cemetery or Crematory: Englewood
Location: Diablock, Ky.
Date received by local registrar: 07 February 1955
Registrar's Signature: Myrtle Slone
Funeral director & address: John Everage, Hindman,
Ky.
Transcribed by Debbie Tamborski, 23 February 2011 |