Date: 20 January 1953
Cert: 01269
Place of Death: County: Knott
City or Town: Amburgy, Ky.
Length of stay (in this place): (blank)
Street address or location: Rural
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Amburgy (Rural) If rural give
location:
(blank)
Full Name: Desta MULLINS
Date of Death: 20 January 1953
Sex, Color or Race, Marital Status: Female, White, Single
Date of Birth: 24 March 1886
Age: 66 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: Riley MULLINS
Mother's Maiden Name: Dicey EVERAGE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Franklin ASHLEY
Disease or condition directly leading to death: Paralysis
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: Pneumonia
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 (blank) to 20
January 1953, that I last saw the deceased alive on 20 January
1953, and that death occurred at 5 p.m., from the causes and
on the date stated above.
Date signed: 24 January 1953
Address: Hindman, Ky.
Signature: J. W. Duke, M.D.
Burial, Cremation or Removal: Burial
Date: 21 January 1953
Name of Cemetery or Crematory: Franklin Cemetery
Location: Amburgy, Knott, Ky.
Date received by local registrar: 30 January 1953
Registrar's Signature: Rose B. Craft
Funeral director & address: John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 09 February 2011 |