Date: 12 June 1953
Cert: 15052
Place of Death: County: Knott
City or Town: Larks Lane, Ky. 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: Larks Lane Rural If rural give
location:
(blank)
Full Name: Martin F. CHRISTIAN
Date of Death: 12 June 1953
Sex, Color or Race, Marital Status: Male, White, Widow
Date of Birth: 1873
Age: 80 years
Usual Occupation: None
Kind of Industry or business: (blank)
Birthplace: Ky.
Father's Name: I. V. CHRISTIAN
Mother's Maiden Name: Mary
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Kennel SLONE
Disease or condition directly leading to death: (blank)
Interval between onset and death: (blank)
Due to: Pneumonia
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 11 June 1953 to
10 June 1953, that I last saw the deceased alive on (blank), and
that death occurred at (illegible), from the causes and on the
date stated above.
Date signed: 14 June 1953
Address: Hindman, Ky.
Signature: J. W. Duke, M.D.
Burial, Cremation or Removal: Burial
Date: 13 June 1953
Name of Cemetery or Crematory: Mosley Cemetery
Location: Garner, Ky.
Date received by local registrar: 03 August 1953
Registrar's Signature: Rose B. Craft By L. B.
Funeral director & address: John Everage, Hindman,
Ky.
Transcribed by Debbie Tamborski, 07 February 2011 |