DEATH CERTIFICATE

SUSAN MAE SMITH

Date:  01 January 1952
Cert:  01199 
Place of Death: County: Knott      City or Town:  Hindman
Length of stay (in this place):  Life
Street address or location:  (blank)
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town:  Hindman      Street Address: (blank)
Full Name:  Susan Mae SMITH
Date of Death:  01 January 1952
Sex, Color or Race, Marital Status: Female, White, Divorced
Date of Birth:  12 June 1917
Age:  34 years
Usual Occupation:  (blank)
Kind of Industry or business: (blank)
Birthplace:  Ky.
Father's Name:  John B. SMITH
Mother's Maiden Name:  Matilda PIGMAN
Was deceased ever in armed forces: (blank)
Social Security No.: 406-XX-2334
Informant:  Elizabeth SMITH
Disease or condition directly leading to death: acute pulmonary edema
Interval between onset and death: 12 hours
Due to (b): myocardial insufficiency
Interval between onset and death: 02 months
Due to (c):  carcinoma of cervix uteri
Interval between onset and death: 01 1/2 years
Other significant conditions: anemia sec.
Interval between onset and death: 01 years
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
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 31 August 1951 to 01 January 1952, that I last saw the deceased alive on 01 January 1952, and that death occurred at 1:10 p.m., from the causes and on the date stated above.
Date signed:  04 January 1952
Address:  Hindman, Ky.
Signature:  D. G. Barker, M.D.
Burial, Cremation or Removal: Burial
Date:  03 January 1952
Name of Cemetery or Crematory:  Family Cemetery
Location:  Hindman, Ky.
Date received by local registrar: 18 January 1952
Registrar's Signature: Rose B. Craft
Funeral director & address:  Charles L. Hornsby, Hindman, Ky.
Transcribed by Debbie Tamborski, 28 January 2011