Date 03 July 1954
Cert: # 18288
Place of Death: County: Knott
City or Town: Smithsboro
Length of stay in hospital or community: (blank)
Name of Hospital or Institution:
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Smithsboro
Full Name: Sarah F. Mullins
Date of Death: 03 July 1954
Sex, Color or Race, Marital Status: female, white, widowed
Date of Birth: 12 February 1872
Age: 82
Usual Occupation: Housekeeper
Kind of Industry or business: (blank)
Birthplace: Knott County KY
Father's Name: Wm Green
Mother's Maiden Name: Matilda Hodge
Was deceased in ever in armed forces: (blank)
Social Security No.: (blank)
Informant:
Disease or condition directly leading to death: Senility
Interval between onset and death:
Due to: Natural Causes
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (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 01 July 1954 to
03 July 1954 , that I last saw the deceased alive on 06 July
1954, and that death occurred on 5 A.M the date stated above
at from the causes and on the date stated above.
Date signed: 25 August 1954
Address: Allock, Ky
Signature: A. B. Pigman, MD
Burial, Cremation or Removal: Burial
Date: 04 July 1954
Name of Cemetery or Crematory: Stamper Cemetery
Location: Carr Creek, Ky
Date received by local registrar: 15 September 1954
Registrar's Signature: Myrtle Slone
Funeral director and address: John Everage ~ Hindman, KY
Transcribed by Gloria Marcum ~ 13 March 2010 |