DEATH CERTIFICATE

 NANCY NARCISSE PERKINS

Date:   29 April 1942
Cert:   11887 
Place of Death: County: Knott     City or Town: Hindman
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: (blank)
City or Town:  (blank)
Full Name:  Nancy Narcisse PERKINS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Female, White
Husband or Wife of:  Henry PERKINS
Age of husband or wife if alive:  (blank)
Birth date of deceased:  06 January 1860
Age: 82 years, 03 months, 23 days
Birthplace:  Grayson Co., Virginia
Occupation:  House Keeping
Industry or business: (blank)
Father Name:  Major PUGH
Father Birthplace:  Virginia
Mother Maiden Name:  Charlotte
Mother Birthplace:  Virginia
Informant:  Lyda MADDEN, Hindman, Ky.
Burial Place:  Perkins Branch
Date:  01 May 1942
Signature of funeral director: Lyda Madden, Hindman, Ky.
Date received by local registrar:  08 June 1942
Registrar's Signature:  Ida Livingston
Date of Death:  29 April 1942
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death: Pneumonia
Duration: (blank)
Due to: Cold
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. W. Duke, M.D., Hindman
Date signed:  08 June 1942
Transcribed by Debbie Tamborski, 17 October 2010