Date:  27 February 1952
Cert:  15197 
Place of Death: County: Knott  City or Town: Lackey, Ky. Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution:  Stumbo Memorial Hospital
Usual Residence of Deceased: State: Indiana   County: South Bend
City or Town:  South Bend, Ind.    Street Address: (blank)
Full Name:  Mary Ellen WELLMAN
Date of Death:  27 February 1952
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth:  05 May 1882
Age:  69 years
Usual Occupation: Housewife
Kind of Industry or business: Home
Birthplace:  Knott Co., Ky.
Father's Name:  Joseph COBURN
Mother's Maiden Name:  Cynthia GRIGSBY
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Carl WELLMAN
Disease/condition directly leading to death: Coronary Occlusion
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 26 February 1952 to 27 February 1952, that I last saw the deceased alive on 27 February 1952, and that death occurred at 6 p.m., from the causes and on the date stated above.
Date signed:  18 July 1952
Address:  Lackey, Ky.
Signature:  C. M. Aker, M.D.
Burial, Cremation or Removal:  Burial
Date:  31 February 1952 (transcribed as written)
Name of Cemetery or Crematory:  South Lawn
Location:  South Bend, Ind.
Date received by local registrar: 18 July 1952
Registrar's Signature:  Rose B. Craft
Funeral director & address:  J. C. Hall, Martin, Ky.
Transcribed by Debbie Tamborski, 28 January 2011