Date: 20 May 1955
Cert: #9991
Place of Death: County: Knott City or Town:
Ivis 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: Ivis - Rural Street Address: (blank)
Full Name: Alexander JONES
Date of Death: 20 May 1955
Sex, Color or Race, Marital Status: Male, White, Widowed
Date of Birth: 29 June 1867
Age: 87 years
Usual Occupation: Farmer
Kind of Industry or business: Carpenter
Birthplace: Letcher Co., Ky.
Father's Name: Johnathan H. JONES
Mother's Maiden Name: Elizabeth DRAUGHN
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: (blank)
Disease/condition directly leading to death: Coronary
Occlusion
Interval between onset and death: 01 hour
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 01 May 1953 to
16 May 1955, that I last saw the deceased alive on 16 May 1955, and
that death occurred at 2:30 a.m., from the causes and on the
date stated above.
Date signed: 20 May 1955
Address: Whitesburg, Ky.
Signature: Owen Pigman, M.D.
Burial, Cremation or Removal: Burial
Date: 22 May 1955
Name of Cemetery or Crematory: Family
Location: Ivis, Ky.
Date received by local registrar: 03 June 1955
Registrar's Signature: Myrtle Slone
Funeral director & address: John Everage, Hindman,
Ky.
Transcribed by Debbie Tamborski, 14 May 2011 |