DEATH
CERTIFICATE
MARCUS BENTLEY
Date 22 November 1919
Cert: 32149
Place of Death: Voting Precinct: Martin, Floyd Co., Ky.
Full Name: Marcus BENTLEY
Sex, Color or Race, Marital Status: Male, White, Single
Date of Birth: (blank)
Age: 04 months
Occupation: (blank)
Birthplace: Knott Co.
Name of Father: John BENTLEY
Birthplace Father: W. Va.
Maiden name of Mother: Anna HUGHES
Birthplace Mother: W. Va.
Informant/Address: (blank)
Filed: (blank)
Registrar: G. S. Howard
Death Date: 22 November 1919
I hereby certify that I attended deceased from 18 November
1919, to
22 November 1919, that I last saw him alive on 22 November
1919, and that death occurred, on the date stated above, at 2
p.m.
Cause of Death: Malnutrition
Duration: (blank)
Contributory: (blank)
Signed/Address: Chas. Sturgill, M.D., 02
December 1919, Garrett, Ky.
Length of residence at place of death: 01 month
Former or usual residence: (blank)
Place of Burial or Removal: Martin
Date of Burial: 23 November 1919
Undertaker/Address: Clay Moore, Huesville, Ky.
Transcribed by Debbie Tamborski, 05 March 2010 |
|