Date:  24 November 1956
Cert: #56-23570
Place of Death: County: Knott  City or Town: Amburgey - 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:  Amburgey         Residence on a Farm?:   Yes
Street Address: (blank)     Residence inside City Limits?:  No
Full Name:   Loise MULLINS
Date of Death:  24 November 1956 
Sex, Color/Race, Marital Status: Female, White, Never Married 
Date of Birth:  26 April 1933 
Age:  23 years
Usual Occupation:  None
Kind of Industry or business: None
Birthplace:  Knott Co., Ky. 
Father's Name:   Carl MULLINS
Mother's Maiden Name:  (blank) 
Was deceased ever in armed forces:  No
Social Security No.: (blank)
Informant:  Carl MULLINS 
Disease or condition directly leading to death: Heart Failure
Interval between onset and death: Sudden
Due to (b):  Obesity
Interval between onset and death: (blank)
Due to (c):  invalid for life & abnormal
Interval between onset and death: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Describe how injury occurred: (blank)
Time of injury: (blank)
Injury occurred at work: (blank)
Place of injury: (blank)
City, Town or Location, County, State: (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 November 1956
Address:  Hindman, Ky.
Signature:  John Everage, Coroner, Knott Co.
Burial, Cremation or Removal: Burial
Date:  26 November 1956
Name of Cemetery or Crematory:  Franklin
Location:  Amburgey, Ky.
Date received by local registrar:  29 November 1956
Registrar's Signature: Myrtle Slone 
Funeral director & address:  John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 25 April 2012