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 |