DEATH CERTIFICATE

SAMANTHA WADDLES

Date:  12 July 1951
Cert:  14600 
Place of Death: County: Knott      City or Town:  Lackey
Length of stay (in this place): 52 days
Name of Hospital or Institution:  Stumbo Memorial Hospital
Usual Residence of Deceased: State: Kentucky    County: Knott
City or Town:  Topmost      Street Address: (blank)
Full Name:  Samantha WADDLES
Date of Death:  12 July 1951
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth:  22 April 1912
Age:  39 years
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace:  Topmost, Ky.
Father's Name:  F. A. HALL
Mother's Maiden Name:  Della MULLINS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Leeman WADDLES
Disease or condition directly leading to death:  Uremia
Interval between onset and death: 04 days
Due to (b): Hypertensive Cardiovascular Renal Disease
Interval between onset and death: 03 years
Due to (c): Cerebro - vascular Accident
Interval between onset and death: 07 days
Other significant conditions: Cardiac Decompension
Interval between onset and death: 01 month
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 20 May 1951 to 12 July 1951, that I last saw the deceased alive on 12 July 1951, and that death occurred at 4:40 a.m., from the causes and on the date stated above.
Date signed:  16 July 1951
Address:  Lackey, Ky.
Signature:  Martha A. Loving, M.D.
Burial, Cremation or Removal: Burial
Date:  14 July 1951
Name of Cemetery or Crematory:  Dry Creek Cemetery
Location:  Topmost, Ky.
Date received by local registrar: 16 July 1951
Registrar's Signature: Rose B. Craft
Funeral director & address:  David Cook, Estill, Ky.
Transcribed by Debbie Tamborski, 21 January 2011