Date: 03 April 1955
Cert: #7809
Place of Death: County: Knott City or Town:
Redfox
Length of stay (in this place): life
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Redfox Street Address: (blank)
Full Name: Conia WILLIAMS
Date of Death: 03 April 1955
Sex, Color or Race, Marital Status: Female, C, Baby
Date of Birth: 10 July 1954
Age: 08 months, 23 days
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Ky.
Father's Name: Clarren WILLIAMS
Mother's Maiden Name: Neoma HAGANS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Neoma WILLIAMS
Disease/condition directly leading to death: Coronary
occlusion
Interval between onset and death: 02 days
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 01 April 1955 to
03 April 1955, that I last saw the deceased alive on 03 April
1955, and
that death occurred at 5 a.m., from the causes and on the
date stated above.
Date signed: 05 April 1955
Address: Allock, Ky.
Signature: A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date: 04 April 1955
Name of Cemetery or Crematory: Red Fox
Location: Red Fox, Ky.
Date received by local registrar: 06 April 1955
Registrar's Signature: Myrtle Slone
Funeral director & address: Family
Transcribed by Debbie Tamborski, 14 May 2011 |