Date: 18 January 1945
Cert: 01594
Place of Death: County: Knott City or
Town: Mousie, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Mousie
Full Name: Andy WATSON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Widowed
Husband or Wife of: Bettie GIBSON
Age of husband or wife if alive: (blank)
Birth date of deceased: 19 January 1877
Age: 67 years, 11 months, 29 days
Birthplace: Knott Co., Ky.
Occupation: Farmer
Industry or business: Farming
Father Name: Henry WATSON
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Martha SLONE
Mother Birthplace: Knott Co., Ky.
Informant: Yearken WATSON, Mousie, Ky.
Burial Place: Mousie, Ky.
Date: 21 January 1945
Signature of funeral director: Friends, Mousie
Date received by local registrar: 20 January 1945
Registrar's Signature: Ida Livingston Rose B. Craft
Acting L. R.
Date of Death: 18 January 1945
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 8 a.m.
Immediate cause of death: Cancer of rectum. This
man had an operation for hemorrhoids of the tissues did not
heal and cancer of the rectum developed
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. W. Duke, M.D., Hindman, Ky.
Date signed: 19 January 1945
Transcribed by Debbie Tamborski, 01 December 2010 |