Date: 05 May 1956
Cert: #56-14784
Place of Death: County: Knott
City or Town: Dema - Rural
Length of stay (in this place): (blank)
Full Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Dema - Rural
Street Address: (blank)
Full Name: William Lewis LOWE
Date of Death: 05 May 1956
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 05 October 1869
Age: 86 years
Usual Occupation: Farmer
Kind of Industry or business: (blank)
Birthplace: Ky.
Father's Name: John LOWE
Mother's Maiden Name: Unknown
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Lanie Ellen LOWE
Disease or condition directly leading to death: Cardio -
Vascular
Interval between onset and death: 02 months
Due to: Hypotension
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 March 1956 to
15 May 1956, that I last saw the deceased alive on 15 May 1956, and
that death occurred at (illegible), from the causes and on the
date stated above.
Date signed: 11 July 1956
Address: Wayland, Ky.
Signature: M. V. Wicker, M.D.
Burial, Cremation or Removal: Burial
Date: 17 May 1956
Name of Cemetery or Crematory: Patton Fork
Location: Dema, Ky.
Date received by local registrar: 24 July 1956
Registrar's Signature: Myrtle Slone
Funeral director & address: Hall Bros., Martin, Ky.,
John C. Hall
Transcribed by Debbie Tamborski, 04 April 2012 |