Date:  22 March 1956
Cert:  #56-7911
Place of Death: County: Knott   City or Town: Sassafras - 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: Sassafras     Street Address: (blank)
Full Name:  Roxiean MULLINS
Date of Death:  22 March 1956
Sex, Color or Race, Marital Status:  Female, White, Married
Date of Birth:  29 April 1885
Age: 70 years
Usual Occupation:  Housewife
Kind of Industry or business: (blank)
Birthplace:   Knott Co., Ky.
Father's Name:  Daniel D. MULLINS
Mother's Maiden Name:  Susan MULLINS
Was deceased ever in armed forces: no
Social Security No.: (blank)
Informant:  Sam MULLINS
Disease or condition directly leading to death: Congestive Heart Disease
Interval between onset and death: 03 years
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 February 1954 to 22 March 1956, that I last saw the deceased alive on 20 March 1956, and that death occurred at 6 a.m., from the causes and on the date stated above.
Date signed:   04 April 1956
Address:  Allock, Ky.
Signature:  A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date:  24 March 1956
Name of Cemetery or Crematory:  Tolliver Cem.
Location:  Litt Carr, Ky.
Date received by local registrar:  20 April 1956
Registrar's Signature: Myrtle Slone
Funeral director & address:  John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 26 March 2012