Date:  16 June 1956
Cert: #56-14782
Place of Death: County: Knott Co. City or Town: Cordia - Rural
Length of stay (in this place): (blank)
Street Address or Location:  on Lotts Crk.
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  Cordia         Street Address:  on Lotts Creek
Full Name:  George W. WHITTAKER 
Date of Death:  16 June 1956 
Sex, Color or Race, Marital Status:  Male, White, Married
Date of Birth:   28 December 1869
Age:  86 years, 06 months, 18 days
Usual Occupation:  (blank)
Kind of Industry or business: Retired (illegible)
Birthplace:  Letcher County, Ky.
Father's Name:  Sam WHITTAKER
Mother's Maiden Name:   Judy (Polly crossed out) WILSON
Was deceased ever in armed forces:  (blank)
Social Security No.:  XXX-XX-XXXX
Informant:   D. G. WHITTAKER
Disease/condition directly leading to death: Coronary Occlusion
Interval between onset and death: Instant
Due to (b):  Congestive Heart Disease
Interval between onset and death: 06 yrs.
Due to (c):  Senility
Interval between onset and death: (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 July 1954 to 16 June 1956, that I last saw the deceased alive on 14 June 1956, and that death occurred at 11:45 a.m., from the causes and on the date stated above.
Date signed:   19 July 1956
Address:  Allock
Signature:  A. B. Pigman, M.D.
Burial, Cremation or Removal: (blank)
Date:  17 July 1956 
Name of Cemetery or Crematory:  Young Cemetery
Location:  Cordia, Ky.
Date received by local registrar:  23 July 1956
Registrar's Signature: Myrtle Slone
Funeral director & address:  Family, Cordia
Transcribed by Debbie Tamborski, 04 April 2012