DEATH CERTIFICATE

NOAH REYNOLDS

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