Date: 28 December 1951
Cert: 26639
Place of Death: County: Knott
City or Town: rURAL
Length of stay (in this place): (illegible)
Street address or location: Hindman, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
precinct: Hindman, Ky.
Full Name: Marry G. ROBINSON
Date of Death: 28 December 1951
Sex, Color or Race, Marital Status: (illegible)
Date of Birth: (illegible)
Age: approx. 78 years
Usual Occupation: (illegible)
Kind of Industry or business: (blank)
Birthplace: (illegible)
Father's Name: (illegible)
Mother's Maiden Name: (illegible)
Was deceased ever in armed forces: (illegible)
Social Security No.: None
Informant: (illegible)
Disease or condition directly leading to death: Heart Failure
Interval between onset and death: Sudden
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 (blank) to
(blank), 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: 29 December 1951
Address: Hindman, Ky.
Signature: Jno. N. Taul (Coroner)
Burial, Cremation or Removal: Burial
Date: 29 December 1951
Name of Cemetery or Crematory: (illegible) Cemetery
Location: Hindman, Ky.
Date received by local registrar: 04 January 1952
Registrar's Signature: Rose B. Craft
Funeral director & address: Charles L. Hornsby,
Hindman, Ky.
Transcribed by Debbie Tamborski, 21 January 2011 |