Date:  27 January 1955
Cert:  #01142
Place of Death: County: Knott      City or Town: Rural - Lackey
Length of stay (in this place): (blank)
Name of Hospital or Institution: Stumbo Hospital
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Rural Mousie    Street Address: Mousie, Ky.
Full Name:  Mrs. Menervia TUTTLE
Date of Death:  27 January 1955
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth:  17 January 1885
Age: 70 years 
Usual Occupation:  Housewife
Kind of Industry or business: Own home
Birthplace:  Leslie County, Ky.
Father's Name:  David LEWIS
Mother's Maiden Name:  Sarah COLLINS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Rubin TUTTLE
Disease or condition directly leading to death:  Cerebral Vascular Accident
Interval between onset and death:  02 weeks
Due to:  Hypertensvie Cardio-vascular disease
Interval between onset and death: years
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 27 January 1955, and that death occurred at 2:30 p.m., from the causes and on the date stated above.
Date signed:  28 January 1955
Address:  Lackey, Ky.
Signature:  Charles L. Roach, M.D.
Burial, Cremation or Removal: Burial
Date:  30 January 1955
Name of Cemetery or Crematory:  Tuttle Cemetery
Location:  Mousie, Knott Co., Ky.
Date received by local registrar:  29 January 1955
Registrar's Signature: Myrtle Slone
Funeral director & address:  Eastin-Richey, Mt. Sterling, Ky., John N. Taul, Mt. Sterling, Ky.
Transcribed by Debbie Tamborski, 19 June 2011