Date: 26 June 1950
Cert: 16734
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): 30 years
Street address or location: Sassafras, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
precinct: Sassafras, Ky.
Full Name: Mary TEMPLETON
Date of Death: 26 June 1950
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 16 April 1901
Age: 49 years
Usual Occupation: Housewife
Kind of Industry or business: Keeping House
Birthplace: Alabama
Father's Name: Oliver WINNETT
Mother's Maiden Name: Tobacco JOLLY
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Clarence TEMPLETON
Disease or condition directly leading to death: Cerebral
Hemorrhage so severe that blood came from nose & mouth
Interval between onset and death: 02 hours
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 (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 15 August 1950
Address: Hindman, Ky.
Signature: Jno. N. Taul, Coroner
Burial, Cremation or Removal: Burial
Date: 28 June 1950
Name of Cemetery or Crematory: Cornett Hill
Location: Knott Co.
Date received by local registrar: 18 August 1950
Registrar's Signature: Rose B. Craft
Funeral director/address: Hindman Funeral Home by J. N.
Taul
Transcribed by Debbie Tamborski, 17 January 2011 |