Date:   15 July 1956
Cert: #56-14781
Place of Death: County: Knott   City or Town: Hindman - Rural
Length of stay (in this place): (blank)
Full Name of Hospital or Institution:  (blank)
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  Hindman            Residence on a Farm?: Yes
Street Address: Rural     Residence inside City Limits?:  No
Full Name:   Matilda OWENS
Date of Death:   15 July 1956 
Sex, Color or Race, Marital Status:  Female, White, Widowed
Date of Birth:   26 May 1891
Age:  65 years
Usual Occupation:  Housewife
Kind of Industry or business: (blank)
Birthplace:  Knott Co., Ky. 
Father's Name:   Henry WATSON
Mother's Maiden Name:  Rosanna SLONE 
Was deceased ever in armed forces:  No
Social Security No.:  No
Informant:   Mrs. Adam SLONE 
Disease or condition directly leading to death:  Congestive heart failure
Interval between onset and death:  06 months
Due to (b): Arteriosclerotic heart disease
Interval between onset and death: 04 years
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 29 June 1956 to 02 July 1956, that I last saw the deceased alive on 02 July 1956, and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  18 July 1956
Address:  Ary, Ky.
Signature:  D. L. Martin, M.D.
Burial, Cremation or Removal: Burial
Date:  18 July 1956
Name of Cemetery or Crematory:  Owens Cem.
Location:  Leburn, Ky.
Date received by local registrar:  23 July 1956
Registrar's Signature: Myrtle Slone
Funeral director & address:  John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 04 April 2012