DEATH CERTIFICATE

MINNIE B. SMITH

Date:  06 August 1955
Cert:  #20890
Place of Death: County: Knott      City or Town: Spider - Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Spider - Rural    Street Address: (blank)
Full Name:  Minnie B. SMITH
Date of Death:  06 August 1955
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth:  30 November 1889
Age: 65 years
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name:  Alex MARTIN
Mother's Maiden Name:  Isabell AMBURGEY
Was deceased ever in armed forces: no
Social Security No.:  none
Informant:  (blank)
Disease or condition directly leading to death:  Carcinoma of stomach
Interval between onset and death:  06 months
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 May 1955 to 05 August 1955, that I last saw the deceased alive on 05 August 1955, and that death occurred at 2 a.m., from the causes and on the date stated above.
Date signed:  30 September 1955
Address:  Allock
Signature:  A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date:  1955
Name of Cemetery or Crematory:  Amburgey Cem.
Location:  Spider, Ky.
Date received by local registrar:  07 October 1955
Registrar's Signature: Myrtle Slone
Funeral director & address:  John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 08 June 2011