Date: 28 September 1953
Cert: 21110
Place of Death: County: Knott
City or Town: Hindman
Length of stay (in this place): (blank)
Street address or location: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Hindman If rural give
location:
(blank)
Full Name: Elizabeth NOBLE
Date of Death: 28 September 1953
Sex, Color or Race, Marital Status: Female, White, Widow
Date of Birth: 15 February 1861
Age: 92 years
Usual Occupation: (blank)
Kind of Industry or business: Housewife
Birthplace: Perry Co., Ky.
Father's Name: Lock EDWARDS (transcriber note:
Everage crossed out)
Mother's Maiden Name: ? (transcribed as written)
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Calloway NOBLE
Disease or condition directly leading to death: Age
Interval between onset and death: (blank)
Due to: Fell dead
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: 29 September 1953
Address: Hindman
Signature: J. W. Duke, M.D.
Burial, Cremation or Removal: Burial
Date: 30 September 1953
Name of Cemetery or Crematory: Amburgey Cemetery
Location: Hindman, Ky.
Date received by local registrar: 09 November 1953
Registrar's Signature: Rose B. Craft
Funeral director & address: John Everage, Hindman,
Ky.
Transcribed by Debbie Tamborski, 09 February 2011 |