Date: 16 January 1948
Cert: 12753
Place of Death: County: Knott City or
Town: Lackey Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Lackey Rural
Full Name: Siller LITTLE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Ben LITTLE
Age of husband or wife if alive: 67 years
Birth date of deceased: September 1870
Age: 77 years, 04 months
Birthplace: Floyd Co., Ky.
Occupation: Housewife
Industry or business: (blank)
Father Name: JOHNSON
Father Birthplace: (blank)
Mother Maiden Name: (blank)
Mother Birthplace: (blank)
Informant: Lee THORNESBURY, Lackey, Topmost, Ky.
Burial Place: Topmost, Ky.
Date: 18 January 1948
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 10 June 1948
Registrar's Signature: Rose B. Craft (Note
at bottom of page--Have not been able to get this woman's
family history--RBC)
Date of Death: 16 January 1948
I hereby certify that I attended deceased from 16 January 1948 to
16 January 1948, that I last saw him alive on 16 January 1948,
and that death occurred on the date stated above at 5:30 p.m.
Immediate cause of death: Lobar Pneumonia
Duration: 05 days
Due to: Flue
Duration: 06 weeks
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Mark Dempsey, M.D., Garrett,
Ky.
Date signed: 02 March 1948
Transcribed by Debbie Tamborski, 27 December 2010 |