Date:  29 October 1952
Cert:  24110 
Place of Death: County: Knott      City or Town: Lackey  Rural
Length of stay (in this place):  02 hours
Name of Hospital or Institution:  Stumbo Hospital
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  Rural     If rural give location:  Mousie, Ky.
Full Name:  Lora GIBSON WATTS
Date of Death:  29 October 1952
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth:  17 September 1921
Age:  31 years
Usual Occupation:  Housewife
Kind of Industry or business: Keeping house
Birthplace:  Knott Co., Ky.
Father's Name:  Bradshaw GIBSON
Mother's Maiden Name:  Sarah ASHLEY
Was deceased ever in armed forces: No
Social Security No.: None
Informant:  Oakie WATTS
Disease or condition directly leading to death:  Burn to death
Interval between onset and death:  (blank)
Due to:  Accident
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 (blank) to (blank), that I last saw the deceased alive on (blank), and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  30 October 1952
Address:  Lackey, Ky.
Signature:  Curtis G. Wherry, M.D.
Burial, Cremation or Removal:  Burial
Date:  30 October 1952
Name of Cemetery or Crematory:  Family Cemetery
Location:  Mousie, Ky.
Date received by local registrar: 12 November 1952
Registrar's Signature:  Rose B. Craft
Funeral director & address:  Charles L. Hornsby, Hindman, Ky., Hindman Funeral Home
Transcribed by Debbie Tamborski, 28 January 2011