Date: 22 March 1948
Cert: 05960
Place of Death: County: Knott City or
Town: Ivis
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Ivis
Full Name: Mary Belle PIGMAN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Widowed
Husband or Wife of: Housewife
Age of husband or wife if alive: (blank)
Birth date of deceased: 14 May 1869
Age: 78 years, 10 months, 08 days
Birthplace: Knott
Occupation: Housewife
Industry or business: (blank)
Father Name: William SMITH
Father Birthplace: Knott
Mother Maiden Name: Susan HAMILTON
Mother Birthplace: Wise Co., Va.
Informant: Dr. FRANCIS, Hazard, Ky.
Burial Place: Pigman Cem.
Date: 23 March 1948
Signature of funeral director: Engle's, Hazard, Ky.
Date received by local registrar: 24 March 1948
Registrar's Signature: Rose B. Craft
Date of Death: 22 March 1948
I hereby certify that I attended deceased from 14 March 1948 to
21 March 1948, that I last saw him alive on 21 March 1948, and
that death occurred on the date stated above at 8 a.m.
Immediate cause of death: Carcinoma of transverse colon
Duration: (blank)
Due to: (blank)
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: Owen Pigman, M.D., Whitesburg
Date signed: 23 March 1948
Transcribed by Debbie Tamborski, 28 December 2010 |