DEATH CERTIFICATE

JEPHETY WATTS

Date:  01 June 1955
Cert:  #12147
Place of Death: County: Knott    City or Town: Red Fox - Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town: Red Fox - Rural     Street Address: (blank)
Full Name:  Jephety WATTS
Date of Death:  01 June 1955
Sex, Color or Race, Marital Status: Male, White, Widowed
Date of Birth:  01 January 1880
Age: 75 years
Usual Occupation:  Farmer
Kind of Industry or business: (blank)
Birthplace:  Letcher Co., Ky.
Father's Name:  Silas WATTS
Mother's Maiden Name:  Sally CAUDILL
Was deceased ever in armed forces: (blank)
Social Security No.:  no
Informant:  Mrs. Herman MARTAN
Disease/condition directly leading to death: Acute Heart failure
Interval between onset and death:  Instant
Due to (b):  Coronary Thrombosis
Due to (c):  Hypertensive Heart Disease
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 June 1951 to 01 June 1955, that I last saw the deceased alive on 26 May 1955, and that death occurred at 8 p.m., from the causes and on the date stated above.
Date signed:  06 June 1955
Address:  Allock
Signature:  A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date:  04 June 1955
Name of Cemetery or Crematory:  Frazier
Location:  Premium, Ky.
Date received by local registrar: 02 June 1955
Registrar's Signature: Myrtle Slone
Funeral director & address:  John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 14 May 2011