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DEATH
CERTIFICATE
TAYLOR WATTS
Date 15 August 1953
Cert: 19442
Place of Death: County: Perry City or Town:
Hazard
Length of stay in hospital or community:
Name of Hospital or Institution: Mt. Mary Hospital
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Sassafras, Ky.
Full Name: Taylor WATTS
Date of Death: 15 August 1953
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 15 November 1883
Age: 69 years
Usual Occupation: Merchant
Kind of Industry or business: Grocer
Birthplace: Ky.
Father's Name: Thomas WATTS
Mother's Maiden Name: Rachel FRANCIS
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant: Mrs. Taylor WATTS
Disease/condition directly leading to death: Bronchial
pneumonia
Interval between onset and death: 48 hrs.
Due to: Gastrogenic Ca.
Interval between onset and death: 06 mos.
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 15 August 1953 to
15 August 1953, that I
last saw the deceased alive on (blank), and that death occurred on
the date stated above at (blank), from the causes and on the date
stated above.
Date signed: 25 August 1953
Address: Hazard
Signature: E. C. Boggs, M.D.
Burial, Cremation or Removal: Burial
Date: 17 August 1953
Name of Cemetery or Crematory: Cornett Hill
Location: Sassafras, Ky.
Date received by local registrar: 31 August 1953
Registrar's Signature: George P. Surer
Funeral director and address: Maggard & Garrett
Transcribed by Debbie Tamborski, 21 February 2010 |
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