Date: 14 December 1950
Cert: 27067
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): All of life
Street address or location: Big Branch
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
precinct: Big Branch
Full Name: Lillie MILLER
Date of Death: 14 December 1950
Sex, Color or Race, Marital Status: Female, White,
Married
Date of Birth: 12 September 1918
Age: 32 years
Usual Occupation: Housewife
Kind of Industry or business: Keeping house
Birthplace: Knott Co., Ky.
Father's Name: John M. CORNETT
Mother's Maiden Name: Rhoda MADDEN
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Charlie CORNETT
Disease/condition directly leading to death: Acute Cardiac
Failure
Interval between onset and death: (blank)
Due to: Dropsy
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 (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 02 January 1951
Address: Hindman, Ky.
Signature: J. W. Duke
Burial, Cremation or Removal: Burial
Date: 15 December 1950
Name of Cemetery or Crematory: Family Cemetery
Location: Knott Co., Ky.
Date received by local registrar: 02 January 1951
Registrar's Signature: Rose B. Craft
Funeral director & address: John N. Taul, Director,
Hindman Funeral Home
Transcribed by Debbie Tamborski, 15 January 2011 |