Date: 08 April 1951
Cert: 10232
Place of Death: County: Knott City or Town:
Amburgey, Ky. Rural
Length of stay (in this place): Life
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Amburgey Rural Street Address:
(blank)
Full Name: Evaline ASHLEY MULLINS
Date of Death: 08 April 1951
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: (blank)
Age: 71 years
Usual Occupation: Housewife
Kind of Industry or business: Home
Birthplace: Amburgey, Knott Co., Ky.
Father's Name: J. T. ASHLEY
Mother's Maiden Name: Sarah HUNT
Was deceased ever in armed forces: no
Social Security No.: none
Informant: Sam WHITAKER
Disease or condition directly leading to death:
Pneumonia
Interval between onset and death: 02 days
Due to: Severe cold
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 (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: 24 May 1951
Address: Kodak
Signature: H. P. Duff, M.D.
Burial, Cremation or Removal: Burial
Date: 09 April 1951
Name of Cemetery or Crematory: Family Cemetery
Location: Amburgey, Knott, Ky.
Date received by local registrar: 10 April 1951
Finished 25 May 1951
Registrar's Signature: Rose B. Craft
Funeral director/address: Relatives & Friends, Amburgey,
Ky.
Transcribed by Debbie Tamborski, 21 January 2011 |