Date: 02 March 1955
Cert: #7810
Place of Death: County: Knott City or Town:
Spider - 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: Spider - Rural Street Address: (blank)
Full Name: Cora VANCE
Date of Death: 02 March 1955
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: October 1881
Age: 74 years
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace: Letcher Co., Ky.
Father's Name: Joseph BOWENS
Mother's Maiden Name: Helen BECKLEY
Was deceased ever in armed forces: No
Social Security No.: No
Informant: Gomer SLONE
Disease/condition directly leading to death: Coronary Embolism
Interval between onset and death: Instant
Due to: Phlebitis
Interval between onset and death: 01 week
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 March 1955
to 03 March 1955, that I last saw the deceased alive on 02
March 1955, and that death occurred at 3 p.m., from the causes
and on the date stated above.
Date signed: 09 March 1955
Address: Allock
Signature: A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date: 04 March 1955
Name of Cemetery or Crematory: Wash Burgey
Location: Spider, Ky.
Date received by local registrar: 16 March 1955
Registrar's Signature: Myrtle Slone
Funeral director & address: John Everage, Hindman
Transcribed by Debbie Tamborski, 14 May 2011 |