Date:  05 August 1952
Cert:  17279 
Place of Death: County: Knott      City or Town:  Lackey
Length of stay (in this place): 01 day
Name of Hospital or Institution:  Stumbo Memorial
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  Rural    If rural give precinct:  May, Ky.
Full Name:  Hazel TAYLOR
Date of Death:  05 August 1952
Sex, Color/Race, Marital Status: Female, White, Never Married
Date of Birth:  12 November 1935
Age:  17 years
Usual Occupation: None
Kind of Industry or business: None
Birthplace:  Knott Co., Ky.
Father's Name:  Sim TAYLOR
Mother's Maiden Name:  Callie GIBSON
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Sim TAYLOR
Disease/condition directly leading to death: Bulbar poliomyelitis
Interval between onset and death:  04 (illegible)
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 05 August 1952 10:30 to 05 August 1952 11:30 p.m., that I last saw the deceased alive on (blank), and that death occurred at 11:30 p.m., from the causes and on the date stated above.
Date signed:  13 August 1952
Address:  Lackey, Ky.
Signature:  Curtis G. Wherry, M.D.
Burial, Cremation or Removal:  Burial
Date:  06 August 1952
Name of Cemetery or Crematory:  Family Cemetery
Location:  May, Knott Co., Ky.
Date received by local registrar:  18 August 1952
Registrar's Signature:  Rose B. Craft
Funeral director & address:  Hindman Funeral Home, Hindman, Ky., Curtis A. Wherry (illegible)
Transcribed by Debbie Tamborski, 28 January 2011