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 |