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DEATH
CERTIFICATE
ROSA WATTS
Date 15 August 1952
Cert: 16548
Place of Death: County: Floyd City or Town: Rural,
Hueysville
Length of stay in hospital or community: 10 min.
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Hindman
Full Name: Rosa WATTS
Date of Death: 15 August 1952
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth: 16 June 1879
Age: 73 years
Usual Occupation: Housewife
Kind of Industry or business: Home
Birthplace: Ky.
Father's Name: Wilse SHORT
Mother's Maiden Name: Nancy SLONE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Elman WATTS
Disease/condition directly leading to death: Disease of
the heart
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
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 04 January 1952 to
15 August 1952, that I
last saw the deceased alive on 15 August 1952, and that death occurred on
the date stated above at 4:15 p.m., from the causes and on the date
stated above.
Date signed: 20 August 1952
Address: Hindman, Ky.
Signature: M. F. Kelley
Burial, Cremation or Removal: Burial
Date: 17 August 1952
Name of Cemetery or Creamatory: Watts Cemetery
Location: Garner, Ky.
Date received by local registrar: 22 August 1952
Registrar's Signature: Lucy Ransdell
Funeral director/address: Charles L. Hornsby, Hindman,
Ky.
Transcribed by Debbie Tamborski, 20 February 2010 |
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