Date: 16 April 1954
Cert: #16291
Place of Death: County: Knott
City or Town: Lackey Rural
Length of stay (in this place): instant
Name of Hospital or Institution: Stumbo Hospital
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
location: Hindman, Ky.
Full Name: Margaret HENDRIX
Date of Death: 16 April 1954
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 06 August 1896
Age: 57 years
Usual Occupation: Housewife
Kind of Industry or business: Keeping house
Birthplace: Knott Co., Ky.
Father's Name: Wess HICKS
Mother's Maiden Name: Jane TERRY
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Una COLLINS
Disease/condition directly leading to death: Pulmonary
Infarction
Interval between onset and death: few minutes
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 16 April 1954 to
16 April 1954, that I never saw the deceased alive on 16 April
1954, and
that death occurred at 8:00 p.m., from the causes and on the
date stated above.
Date signed: 27 April 1954
Address: Lackey, Ky.
Signature: Eldon Dykes, M.D.
Burial, Cremation or Removal: Burial
Date: 19 April 1954
Name of Cemetery or Crematory: Gayheart Cemetery
Location: Softshell, Ky.
Date received by local registrar: 28 April 1954
Registrar's Signature: Rose B. Craft
Funeral director & address: John N. Taul, Hindman
Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 12 March 2011 |