Date: 07 February 1950
Cert: 03217
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): All of life
Street address or location: Estill, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
precinct: Estill, Ky.
Full Name: Pauline REYNOLDS
Date of Death: 07 February 1950
Sex, Color/Race, Marital Status: Female, White, Never Married
Date of Birth: 26 August 1949
Age: 05 months, 11 days
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: John West REYNOLDS
Mother's Maiden Name: May GAYHEART
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: John West REYNOLDS
Disease/condition directly leading to death: Bronchial
Pneumonia
Interval between onset and death: (blank)
Due to: (blank)
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 01 February
1950 to
07 February 1950, that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 15 February 1950
Address: Wayland, Ky.
Signature: M. V. Wicker, M.D.
Burial, Cremation or Removal: Burial
Date: 09 February 1950
Name of Cemetery or Crematory: Gayheart
Location: Knott Co., Ky.
Date received by local registrar: 21 February 1950
Registrar's Signature: Rose B. Craft
Funeral director & address: Hindman Funeral Home
Transcribed by Debbie Tamborski, 15 January 2011 |