Date: 03 August 1951
Cert: 16605
Place of Death: County: Knott
City or Town: Rural Lackey
Length of stay (in this place): 03 days
Name of Hospital or Institution: Stumbo Hospital
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
precinct: Larkslane, Ky.
Full Name: Catherine WADDELL
Date of Death: 03 August 1951
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 06 November 1882
Age: 69 years
Usual Occupation: Housewife
Kind of Industry or business: Keeping House
Birthplace: Knott Co., Ky.
Father's Name: George HAYES
Mother's Maiden Name: Sally EVERAGE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Cleve WADDELL
Disease/condition directly leading to death: Cerebral
Hemorrhage
Interval between onset and death: (blank)
Due to (b): Hypertension
Due to (c): Arteriosclerosis
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 03 August 1951, and
that death occurred at 7:45 p.m., from the causes and on the
date stated above.
Date signed: 10 August 1951
Address: Lackey, Ky.
Signature: C. M. Aker, M.D.
Burial, Cremation or Removal: Burial
Date: 05 August 1951
Name of Cemetery or Crematory: Hayes Cemetery
Location: Hindman, Ky.
Date received by local registrar: 16 August 1951
Registrar's Signature: Rose B. Craft
Funeral director & address: Hindman Funeral Home,
Hindman, Ky., John N. Taul, Hindman, Ky.
Transcribed by Debbie Tamborski, 21 January 2011 |