Date: 16 December 1947
Cert: 28868
Place of Death: County: Knott City or
Town: Pine Top, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Pine Top Rural
Full Name: Mrs. Elizabeth REYNOLDS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Widow
Husband or Wife of: Joseph REYNOLDS
Age of husband or wife if alive: Deceased
Birth date of deceased: 17 April 1874
Age: 73 years, 07 months, 29 days
Birthplace: Raven, Ky.
Occupation: House Wife
Industry or business: (blank)
Father Name: Isom SLONE
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Minerva SALMONS
Mother Birthplace: Knott Co., Ky.
Informant: Mamie REYNOLDS, Pine Top, Ky.
Burial Place: Mallie, Ky.
Date: 18 December 1947
Signature funeral director: Johnson Funeral Home, Hazard,
Ky.
Date received by local registrar: 03 February 1948
Registrar's Signature: Rose B. Craft
Date of Death: 16 December 1947
I hereby certify that I attended deceased from 15 November
1947 to
15 December 1947, that I last saw him alive on 15 November
1947, and that death occurred on the date stated above at 8
a.m.
Immediate cause of death: Cardiac failure
Duration: (blank)
Due to: Arteriosclerosis and Hypertension
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: D. G. Barker, M.D., Hindman,
Ky.
Date signed: 03 February 1948
Transcribed by Debbie Tamborski, 20 December 2010 |