Date: 10 December 1949
Cert: 25930
Place of Death: County: Knott
City or Town: Sassafras
Length of stay (in this place): (blank)
Name of Hospital or Institution: None
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Sassafras Street Address:
(blank)
Full Name: Martha CAMPBELL
Date of Death: 10 December 1949
Sex, Color or Race, Marital Status: Female, White,
Widowed
Date of Birth: 12 January 1882
Age: 67 years
Usual Occupation: Housewife
Kind of Industry or business: Home
Birthplace: Perry County, Ky.
Father's Name: Alex SINGLETON
Mother's Maiden Name: Nancy CAUDILL
Was deceased ever in armed forces: No
Social Security No.: None
Informant: Ray HAMILTON
Disease condition directly leading to death: Cerebral
Apoplexy
Interval between onset and death: 40 hours
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: Sassafras, Knott, Ky.
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 08 December
1949 to
10 December 1949, that I last saw the deceased alive on 10
December 1949, and
that death occurred at 8 p.m., from the causes and on the
date stated above.
Date signed: 17 December 1949
Address: Allock
Signature: A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date: 12 December 1949
Name of Cemetery or Crematory: Cornett Cemetery
Location: Viper, Ky.
Date received by local registrar: 18 December 1949
Registrar's Signature: Rose B. Craft
Funeral director & address: Maggard & Garrett,
Hazard, Ky.
Transcribed by Debbie Tamborski, 03 January 2011 |