Date: 07 May 1955
Cert: #9990
Place of Death: County: Knott City or Town:
Litt Carr - Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Litt Carr - Rural Street Address: (blank)
Full Name: Noah REYNOLDS
Date of Death: 07 May 1955
Sex, Color or Race, Marital Status: Male, White, Widowed
Date of Birth: 13 February 1866
Age: 89 years
Usual Occupation: Farmer
Kind of Industry or business: (blank)
Birthplace: Letcher Co., Ky.
Father's Name: Wm. Henry REYNOLDS
Mother's Maiden Name: Mary Jane SERGENT
Was deceased ever in armed forces: No
Social Security No.: No
Informant: Henry REYNOLDS
Disease or condition directly leading to death: Senility
Interval between onset and death: (blank)
Due to: Natural causes
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 January 1955 to
07 May 1955, that I last saw the deceased alive on 06 May 1955, and
that death occurred at 4 a.m., from the causes and on the
date stated above.
Date signed: 11 May 1955
Address: Allock
Signature: A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date: 10 May 1955
Name of Cemetery or Crematory: Reynolds
Location: Litt Carr, Ky.
Date received by local registrar: 03 June 1955
Registrar's Signature: Myrtle Slone
Funeral director & address: John Everage, Hindman,
Ky.
Transcribed by Debbie Tamborski, 14 May 2011 |