Date: 20 February 1956
Cert: #56-3442
Place of Death: County: Knott City or Town:
Sassafras
Length of stay (in this place): (blank)
Street address or location: Home at Sassafras
Usual Residence of Deceased: State: Kentucky County:
Knott
City or Town: Sassafras Street Address: (blank)
Full Name: Nancy B. SMITH
Date of Death: 20 February 1956
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth: 08 October 1879
Age: 76 years
Usual Occupation: Mother
Kind of Industry or business: None
Birthplace: Knott County, Kentucky
Father's Name: Brax PIGMAN
Mother's Maiden Name: Lucendie ADAMS
Was deceased ever in armed forces: No
Social Security No.: None
Informant: Mrs. Morton COMBS (Daughter)
Disease/condition directly leading to death: Coronary
Occlusion
Interval between onset and death: 01 hour
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 20 February
1956 to
20 February 1956, that I last saw the deceased alive on 20
February 1956, and
that death occurred at 5:30 p.m., from the causes and on the
date stated above.
Date signed: 24 February 1956
Address: Allock
Signature: A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date: 22 February 1956
Name of Cemetery or Crematory: Family Cemetery
Location: Litt Carr, Knott Co., Kentucky
Date received by local registrar: 27 February 1956
Registrar's Signature: Myrtle Slone
Funeral director & address: Maggard & Garrett
Funeral Home--Hazard, Ky.
Transcribed by Debbie Tamborski, 25 March 2012 |