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 |