Date: 28 October 1952
Cert: 24112
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): 02 months
Street address or location: Mousie, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If
rural give location: Mousie, Ky.
Full Name: Oakie WATTS Jr.
Date of Death: 28 October 1952
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth: 06 September 1952
Age: 01 months, 22 days
Usual Occupation: None
Kind of Industry or business: None
Birthplace: Knott Co., Ky.
Father's Name: Oakie WATTS
Mother's Maiden Name: Lora GIBSON
Was deceased ever in armed forces: No
Social Security No.: None
Informant: Oakie WATTS
Disease or condition directly leading to death: Burn to death
due to accident
Interval between onset and death: (blank)
Due to: (blank)
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: 29 October 1952
Address: Hindman, Ky.
Signature: Jno. N. Taul (Coroner)
Burial, Cremation or Removal: Burial
Date: 29 October 1952
Name of Cemetery or Crematory: Family
Location: Mousie, Ky.
Date received by local registrar: 16 November 1952
Registrar's Signature: Rose B. Craft
Funeral director & address: Chas. L. Hornsby,
Hindman Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 28 January 2011 |