Date:    20 May 1945
Cert:    10666 
Place of Death: County: Knott   City or Town:  Lackey
Name of Hospital or Institution:  Stumbo Mem. Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.     County:  Floyd
City or Town:  Wheelwright 
Full Name:  Goldie SCOTT 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status: Female, Colored, (blank)
Husband or Wife of:  Robert C. SCOTT
Age of husband or wife if alive: (blank)
Birth date of deceased:    15 January 1895
Age:  50 years
Birthplace:  Georgia 
Occupation:  (blank) 
Industry or business:  (blank)
Father Name:  Jim (illegible ?SRGANE?)
Father Birthplace:  Ga. 
Mother Maiden Name:  Susie CRAWFORD    
Mother Birthplace:   Georgia 
Informant:   Robt. SCOTT, Wheelwright 
Burial Place:   Wheelwright 
Date:  (blank) 
Signature of funeral director:  E. P. Arnold, Prestonsburg
Date received by local registrar:  31 May 1945
Registrar's Signature:  Lucy Ramsdell
Date of Death:  20 May 1945 
I hereby certify that I attended deceased from 01 May 1945 to 20 May 1945, that I last saw him alive on 20 May 1945, and that death occurred on the date stated above at 11:40 a.m.
Immediate cause of death:  Diabetes Mellitus 
Duration: (blank)
Due to:  Blood Clot (Infarct)
Major findings of operations: Amputation at Left Thigh     Of Autopsy:  None 
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  A. P. Hodge, M.D., Lackey, Ky.
Date signed:  20 May 1945 
Transcribed by Debbie Tamborski, 29 November 2010