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DEATH
CERTIFICATE
MARGRET C. SMITH
Date: 27 November 1953
Cert: 27333
Place of Death: County: Perry City or Town:
Vicco
Length of stay (in this place): (blank)
Street address/location: Died at home in Perry Co. at Vicco,
Ky.
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Vicco Street Address: (blank)
Full Name: Margret C. SMITH
Date of Death: 27 November 1953
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 24 December 1867
Age: 86 years
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: Joe CORNETT
Mother's Maiden Name: Susie CAUDILL
Was deceased ever in armed forces: no
Social Security No.: (blank)
Informant: Elizabeth DEATON
Disease or condition directly leading to death: Cerebral
Apoplexy
Interval between onset and death: 02 days
Due to: Senility
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 25 November
1953 to
27 November 1953, that I last saw the deceased alive on 27
November 1953, and
that death occurred at 4 a.m., from the causes and on the
date stated above.
Date signed: 08 December 1953
Address: Allock, Ky.
Signature: A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date: 29 November 1953
Name of Cemetery or Crematory: Smithboro Cemetery
Location: Smithsboro, Ky.
Date received by local registrar: 31 March 1954
Registrar's Signature: J. F. Blockerby, State Reg,
Funeral director & address: John Everage, Hindman,
Ky.
Transcribed by Debbie Tamborski, 13 August 2010 |
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