DEATH CERTIFICATE

MONROE WATTS

Date:  14 June 1955
Cert:  #18749
Place of Death: County: Knott      City or Town: Garner 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:  Garner - Rural      Street Address: (blank)
Full Name:  Monroe WATTS
Date of Death:  14 June 1955
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  11 December 1884
Age: 70 years, 06 months, 03 days
Usual Occupation:  Farmer
Kind of Industry or business: (blank)
Birthplace:  Leburn, Ky.
Father's Name:  Silas WATTS
Mother's Maiden Name:  Sally CAUDILL
Was deceased ever in armed forces: no
Social Security No.:  406-01-8786
Informant:  (blank)
Disease or condition directly leading to death:  Paralysis
Interval between onset and death:  (blank)
Due to (b): None
Due to (c): None
Other significant conditions: Disease of the heart
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 02 May 1955 to 14 June 1955, that I last saw the deceased alive on 14 June 1955, and that death occurred at 11 p.m., from the causes and on the date stated above.
Date signed:  19 September 1955
Address:  Hindman, Ky.
Signature:  M. F. Kelley
Burial, Cremation or Removal: Burial
Date:  16 June 1955
Name of Cemetery or Crematory:  Watts Cemetery
Location:  Garner, Ky.
Date received by local registrar: 20 September 1955
Registrar's Signature: Myrtle Slone
Funeral director & address:  John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 19 June 2011