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 |