Date:  08 November 1955
Cert:  #23134
Place of Death: County: Knott      City or Town: Rural Hindman
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.      County: Perry
City or Town: Rural - Hazard     Street Address: Popular St.
Full Name:  Mollie TIGNOR
Date of Death:  08 November 1955
Sex, Color or Race, Marital Status:  Female, White, Widowed
Date of Birth:  11 February 1892
Age: 63 years 
Usual Occupation: House wife
Kind of Industry or business: Home
Birthplace:  Ky.
Father's Name:  Brown BAKER
Mother's Maiden Name:  Alice COMBS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  A. M. DURBIN
Disease or condition directly leading to death:  Heart Failure
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 (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: 14 November 1955
Address:  Hindman, Ky.
Signature:  John Everage, Coroner, Knott Co.
Burial, Cremation or Removal: Burial
Date:  17 November 1955
Name of Cemetery or Crematory:  Family Cemetery
Location:  Homeny, Okla.
Date received by local registrar: 17 November 1955
Registrar's Signature: Myrtle Slone
Funeral director & address:  Engle Funeral Home, Hazard, Ky.
Transcribed by Debbie Tamborski, 10 June 2011