Date: 04 February 1953
Cert: 15051
Place of Death: County: Knott
City or Town: Tina (Rural)
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Tina (Rural) If rural give
location:
(blank)
Full Name: Monroe WOOTON
Date of Death: 04 February 1953
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: February 1883
Age: 70 years
Usual Occupation: Farming
Kind of Industry or business: Farmer
Birthplace: Ky.
Father's Name: Will WOOTON
Mother's Maiden Name: (blank)
Was deceased ever in armed forces: not known
Social Security No.: (blank)
Informant: Flanery WOOTON
Disease or condition directly leading to death: Pneumonia
Fever
Interval between onset and death: 05 days
Due to: Bronchial Asthma
Other significant conditions: none
Date of Operation: none
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 02 February
1953 to
02 February 1953, that I last saw the deceased alive on 02
February 1953, and
that death occurred at 2 a.m., from the causes and on the
date stated above.
Date signed: 02 February 1953
Address: Garrett, Ky.
Signature: Mark Dempsey, M.D.
Burial, Cremation or Removal: Burial
Date: 06 February 1953
Name of Cemetery or Crematory: Wooton Cemetery
Location: Big Branch of Ball, Knott Co.
Date received by local registrar: 30 May 1953
Registrar's Signature: Mrs. Rose B. Craft
Funeral director & address: John Everage, Hindman,
Ky.
Transcribed by Debbie Tamborski, 12 February 2011 |