Date: 19 May 1950
Cert: 10346
Place of Death: County: Knott
City or Town: Tina, Ky. Rural
Length of stay (in this place): (blank)
Street address or location: Home
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Tina Rural Street Address:
(blank)
Full Name: Cynthia NAPIER
Date of Death: 19 May 1950
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth: unknown
Age: 77 years
Usual Occupation: Housewife
Kind of Industry or business: Home
Birthplace: Kentucky
Father's Name: Sylvester ROBERTS
Mother's Maiden Name: Unknown
Was deceased ever in armed forces: No
Social Security No.: No
Informant: Adam GAYHEART
Disease or condition directly leading to death: Heart
Attack
Interval between onset and death: Died suddenly
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (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 (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: (blank)
Address: (blank)
Signature: J. W. Duke, M.D.
Burial, Cremation or Removal: Burial
Date: 21 May 1950
Name of Cemetery or Crematory: Napier Cemetery
Location: Tina, Knott Co., Ky.
Date received by local registrar: 31 May 1950
Registrar's Signature: Rose B. Craft
Funeral director & address: Friends, Tina, Ky.
Transcribed by Debbie Tamborski, 15 January 2011 |