Date: 01 December 1954
Cert: 24838
Place of Death: County: Knott
City or Town: Larkslane - 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: Larkslane - Rural If rural give
location:
(blank)
Full Name: Tom R. HIGGARD
Date of Death: 01 December 1954
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 22 December 1885
Age: 68 years
Usual Occupation: Farmer
Kind of Industry or business: (blank)
Birthplace: Arkansas
Father's Name: (blank)
Mother's Maiden Name: (blank)
Was deceased ever in armed forces: (blank)
Social Security No.: (illegible)
Informant: Mrs. McKinley BATES
Disease or condition directly leading to death: Cardiac
Decompensation
Interval between onset and death: 01 month ?
(transcribed as written)
Due to (b): Chr. asthmatic bronchitis
Interval between onset and death: 15 years ?
(transcribed as written)
Due to (c): Emphysema
Interval between onset and death: 15 years ?
(transcribed as written)
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 03 December
1952 to
23 November 1954, that I last saw the deceased alive on 23
November 1954, and
that death occurred at 1:00 p.m., from the causes and on the
date stated above.
Date signed: 06 December 1954
Address: Hindman, Ky.
Signature: D. G. Barker, M.D.
Burial, Cremation or Removal: Burial
Date: 03 December 1954
Name of Cemetery or Crematory: Draughn
Location: Garner, Ky.
Date received by local registrar: 06 December 1954
Registrar's Signature: Myrtle Slone
Funeral director & address: John Everage, Hindman,
Ky.
Transcribed by Debbie Tamborski, 23 February 2011 |