Date: 22 February 1955
Cert: #5601
Place of Death: County: Knott City or Town:
Rural Sassafras
Length of stay (in this place): (blank)
Street Address or Location: Home
Usual Residence of Deceased: State: Kentucky County:
Perry
City or Town: Rural Vicco Street Address: (blank)
Full Name: Cora WATTS
Date of Death: 22 February 1955
Sex, Color or Race, Marital Status: Female, White,
Widowed
Date of Birth: 20 January 1890
Age: 65 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Breathitt Co., Ky.
Father's Name: Jermiah NOBLE
Mother's Maiden Name: Unknown
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Ollie WATTS
Disease/condition directly leading to death: Cerebral Apoplexy
Interval between onset and death: 01 month
Due to: Hypertensive Heart Disease
Interval between onset and death: 02 years
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 10 January 1955
to 22 February 1955, that I last saw the deceased alive on
(blank), and that death occurred at 7:00 p.m., from the causes
and on the date stated above.
Date signed: 02 March 1955
Address: Allock
Signature: A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date: 24 February 1955
Name of Cemetery or Crematory: Cornett Hill Cemetery
Location: Vicco, Knott, Kentucky
Date received by local registrar: 03 March 1955
Registrar's Signature: Myrtle Slone
Funeral director & address: Maggard & Garrett, Hazard,
Ky.
Transcribed by Debbie Tamborski, 14 May 2011 |