DEATH CERTIFICATE

ARDELIA WOODS

Date:  20 November 1953
Cert:  27436 
Place of Death: County: Knott    City or Town: Cody, Ky. Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution:  (blank)
Usual Residence of Deceased: State: Ky.     County: Perry
City or Town:  Viper   Rural     If rural give location: (blank)
Full Name:  Ardelia WOODS 
Date of Death:  20 November 1953 
Sex, Color or Race, Marital Status: Female, White, Married 
Date of Birth:  13 March 1875 
Age:  78 years
Usual Occupation:  Housewife
Kind of Industry or business: (blank)
Birthplace:  Knott Co., Ky. 
Father's Name:  Squire WATTS 
Mother's Maiden Name:  Sally CAMPBELL 
Was deceased ever in armed forces: (blank)
Social Security No.:  (blank)
Informant:  Marie HILTON
Disease or condition directly leading to death: Congestive Heart Failure
Interval between onset and death: 01 year
Due to:  Hypertension
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 20 May 1953 to 04 June 1953, that I last saw the deceased alive on 04 June 1953, and that death occurred at (blank), from the causes and on the date stated above.
Date signed: 15 December 1953
Address:  Hazard, Ky.
Signature:  Martin Palmer, M.D.
Burial, Cremation or Removal: Burial
Date:  22 November 1953
Name of Cemetery or Crematory: Cornett Cemetery
Location:  Viper, Ky.
Date received by local registrar: 13 February 1954
Registrar's Signature: Mrs. Rose B. Craft
Funeral director & address:  John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 12 February 2011