Date: 08 November 1955
Cert: #26881
Place of Death: County: Knott City or Town:
Hindman - 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: Hindman - Rural Street Address: (blank)
Full Name: Bertha STRUGILL
Date of Death: 08 November 1955
Sex, Color or Race, Marital Status: Female, White,
Widowed
Date of Birth: 28 November 1885
Age: 70 years, 11 months, 08 days
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: Green HOLLIDAY
Mother's Maiden Name: Nancy CORNETT
Was deceased ever in armed forces: No
Social Security No.: No
Informant: Mrs. Benton HOLLIDAY
Disease or condition directly leading to death: Cancer of
Cervix
Interval between onset and death: (blank)
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 November
1955 to 08 November 1955, that I last saw the deceased alive on
01 November 1955, and
that death occurred at 10 p.m., from the causes and on the
date stated above.
Date signed: 02 January 1955 (transcribed as written)
Address: Hindman
Signature: M. F. Kelly, M.D.
Burial, Cremation or Removal: Burial
Date: 09 November 1955
Name of Cemetery or Crematory: Holliday Cem.
Location: Ary, Ky.
Date received by local registrar: 01 January 1956
Registrar's Signature: Myrtle Slone
Funeral director & address: John Everage, Hindman,
Ky.
Transcribed by Debbie Tamborski, 10 June 2011 |