Date:  28 May 1950
Cert:  12602 
Place of Death: County: Knott      City or Town: Lackey
Length of stay (in this place): (blank)
Full name of hospital or institution:  Stumbo Mem. Med. Fdn.
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Mousie, Ky.     Street Address: (blank)
Full Name:  Judy Terry NICKELS
Date of Death:  28 May 1950
Sex, Color or Race, Marital Status: Female,White, Widowed
Date of Birth:  Unknown
Age: 76 years
Usual Occupation: Housewife
Kind of Industry or business: Home
Birthplace:  Kentucky
Father's Name:  Bill TERRY
Mother's Maiden Name:  Mindy COMBS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Austin NICKELS
Disease or condition directly leading to death: Gangrene Lef Leg Right Arm
Interval between onset and death:  10 days
Due to (b):  Arteriosclerosis
Due to (c):  Hypertension
Other significant conditions: Malnutrition, Acidosis
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 23 May 1950 to 28 May 1950, that I last saw the deceased alive on 27 May 1950, and that death occurred at 9:05 a.m., from the causes and on the date stated above.
Date signed:  28 May 1950
Address:  Lackey, Kentucky
Signature:  Martha A. Loving, M.D.
Burial, Cremation or Removal:  Burial
Date:  30 May 1950
Name of Cemetery or Crematory:  Campbell Cem.
Location:  Mousie, Ky.
Date received by local registrar: 07 June 1950
Registrar's Signature:  Rose B. Craft
Funeral director/address: Hindman Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 15 January 2011