Date: 13 July 1955
Cert: # 14359
Place of Death: County: Knott City or Town:
Amburgey - 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: Amburgey - Rural Street Address: (blank)
Full Name: Lydia MADDEN
Date of Death: 13 July 1955
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth: 09 December 1873
Age: 81 years
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace: Carrie, Ky.
Father's Name: Roger CORNETT
Mother's Maiden Name: Nancy MAGGARD
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: (blank)
Disease or condition directly leading to death: Senility
Interval between onset and death: (blank)
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 June 1952 to 13
July 1955, that I last saw the deceased alive on 12 July 1955, and
that death occurred at 4 a.m., from the causes and on the
date stated above.
Date signed: 20 July 1955
Address: Allock
Signature: A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date: 14 July 1955
Name of Cemetery or Crematory: Family
Location: Amburgey, Ky.
Date received by local registrar: 25 July 1955
Registrar's Signature: Myrtle Slone
Funeral director & address: John Everage, Hindman,
Ky.
Transcribed by Debbie Tamborski, 08 June 2011 |