Date: 02 August 1949
Cert: 16797
Place of Death: County: Knott
City or Town: Anco
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Anco Street Address:
(blank)
Full Name: Patricia Ann SMITH
Date of Death: 02 August 1949
Sex, Color or Race, Marital Status: Female, White, Single
Date of Birth: 25 July 1949
Age: 08 days
Usual Occupation: Infant
Kind of Industry or business: (blank)
Birthplace: Anco, Ky.
Father's Name: Robert SMITH
Mother's Maiden Name: Irma Jewel RITCHIE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Robert Smith
Disease or condition directly leading to death:
Congestive Heart Disease
Interval between onset and death: (blank)
Due to: Prematurity
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: Knott, Ky.
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 25 July 1949 to
02 August 1949, that I last saw the deceased alive on 01
August 1949, and
that death occurred at 8 a.m., from the causes and on the
date stated above.
Date signed: 02 August 1949
Address: Allock, Ky.
Signature: A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date: 03 August 1949
Name of Cemetery or Crematory: John Riley Kelley
Location: Anco, Ky.
Date received by local registrar: 16 August 1949
Registrar's Signature: Rose B. Craft By L. Biller
Funeral director & address: Maggard & Garrett,
Hazard, Ky.
Transcribed by Debbie Tamborski, 08 January 2011 |