Date: 16 July 1955
Cert: #14358
Place of Death: County: Knott City or Town:
Amburgey - 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: Amburgey - Rural Street Address: (blank)
Full Name: Silas WATTS
Date of Death: 16 July 1955
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth: 19 December 1900
Age: 54 years
Usual Occupation: none
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: John WATTS
Mother's Maiden Name: Mary GENT
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Garland FRANKLIN
Disease/condition directly leading to death: Bronchial
Pneumonia
Interval between onset and death: 03 days
Due to (b): Malnutrition
Interval between onset and death: (blank)
Due to (c): Feeble - minded
Interval between onset and death: Life
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 October 1954 to
16 July 1955, that I last saw the deceased alive on 14 July
1955, and that death occurred at 4 p.m., from the causes and
on the date stated above.
Date signed: 20 July 1955
Address: Allock, Ky.
Signature: A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date: 18 July 1955
Name of Cemetery or Crematory: Franklin Cem.
Location: Amburgey, Ky.
Date received by local registrar: 25 July 1955
Registrar's Signature: Myrtle Slone
Funeral director & address: John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 14 May 2011 |