Date: 04 June 1953
Cert: 17002
Place of Death: County: Knott
City or Town: Wiscoal, Ky. Rural
Length of stay (in this place): (blank)
Street address or location: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Wiscoal Rural If rural give
location:
(blank)
Full Name: Sarah Jane NOBLE
Date of Death: 04 June 1953
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 21 July 1886
Age: 66 years
Usual Occupation: (blank)
Kind of Industry or business: Housewife
Birthplace: Perry Co., Ky.
Father's Name: Garrett FELTNER
Mother's Maiden Name: STACY
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: (blank)
Disease or condition directly leading to death: Bronchial T.
B.
Interval between onset and death: (blank)
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 01 April 1953 to
04 June 1953, that I last saw the deceased alive on 04 June
1953, and
that death occurred at 11:00 a.m., from the causes and on the
date stated above.
Date signed: 13 June 1953
Address: Allock
Signature: A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date: 05 June 1953
Name of Cemetery or Crematory: Stacy Cemetery
Location: Dwarf, Ky.
Date received by local registrar: 16 July 1953
Registrar's Signature: Mrs. Rose B. Craft
Funeral director & address: John Everage, Hindman,
Ky.
Transcribed by Debbie Tamborski, 09 February 2011 |