DEATH CERTIFICATE

CONIA WILLIAMS

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