Date: 19 August 1949
Cert: 19068
Place of Death: County: Knott
City or Town: Red Fox, Ky.
Length of stay (in this place): (blank)
Street Number or Address: Home
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Red Fox, Ky. Street Address:
(blank)
Full Name: Martin ANDERSON
Date of Death: 19 August 1949
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 09 May 1897
Age: 52 years
Usual Occupation: Merchant
Kind of Industry or business: Self
Birthplace: Letcher Co., Ky.
Father's Name: Ruben ANDERSON
Mother's Maiden Name: Nancy HALL
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Mrs. Martin ANDERSON
Disease or condition directly leading to death: Prob.
Pulmonary Tuberculosis
Interval between onset and death: Yrs.
Due to: (family believed to be Bronchial Asthma - but I
feel it is Tuberculosis)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (from investigation)
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: Not while at work
How did injury occur: (blank)
I hereby certify that I attended deceased from seen him from
time to
time, that I last saw the deceased alive on (blank), and
that death occurred at 7 a.m., from the causes and on the
date stated above.
Date signed: 04 September 1949
Address: Whitesburg, Ky.
Signature: R. D. Collins, M.D.
Burial, Cremation or Removal: Burial
Date: 21 August 1949
Name of Cemetery or Crematory: Family Cemetery
Location: Beaver Dam, Ky.
Date received by local registrar: 05 September 1949
Registrar's Signature: Rose B. Craft
Funeral director & address: Archie Craft,
Whitesburg, Ky.
Transcribed by Debbie Tamborski, 02 January 2011 |