Date:    16 July 1947
Cert:    18417 
Place of Death: County: Knott   City or Town:  Tina, 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:  Tina, Ky. 
Full Name:  William ROBERTS 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status: Male, White, Widowed
Husband or Wife of:  Lucinda ROBERTS
Age of husband or wife if alive: (blank)
Birth date of deceased:  30 October 1860 
Age: 86 years, 08 months, 16 days
Birthplace:  Kentucky 
Occupation:  Farmer 
Industry or business:  (blank)
Father Name:  Wiley ROBERTS 
Father Birthplace:  Kentucky 
Mother Maiden Name:  Matilda SMITH 
Mother Birthplace:   Kentucky 
Informant:  Hershel ROBERTS, Hindman, Ky. 
Burial Place:   Roberts Cem., Tina, Ky. 
Date:  July 1947 
Signature of funeral director:  Friends & Neighbors, Tina, Ky.
Date received by local registrar:  30 August 1947 
Registrar's Signature:  Rose B. Craft
Date of Death:  16 July 1947 
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at 9:30 a.m.
Immediate cause of death:  Heart failure 
Duration: (blank)
Due to:  Arteriosclerosis
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:  J. W. Duke, M.D., Hindman, Ky.
Date signed:  30 August 1947 
Transcribed by Debbie Tamborski, 20 December 2010