DEATH CERTIFICATE

MARTHA COOK

Date:    29 January 1945
Cert:    06255 
Place of Death: County: Knott   City or Town:  Topmost
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County:  Knott
City or Town:  Topmost 
Full Name:  Martha COOK 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Female, White, Widowed
Husband or Wife of:  Enon COOK
Age of husband or wife if alive: (blank)
Birth date of deceased:   14 November 1868
Age:  76 years, 02 months, 15 days
Birthplace:  Floyd Co., Ky. 
Occupation:   Domestic 
Industry or business: (blank)
Father Name:  Hi MULLINS 
Father Birthplace:  Floyd Co., Ky. 
Mother Maiden Name:  Elizabeth HAMILTON 
Mother Birthplace:  Floyd Co., Ky. 
Informant:   Wm. A. COOK, Topmost, Ky. 
Burial Place:   Topmost, Ky. 
Date:   30 January 1945 
Signature of funeral director:  W. J. Ryan, Martin, Ky.
Date received by local registrar: 29 March 1945 
Registrar's Signature:  Rose B. Craft
Date of Death:  29 January 1945 
I hereby certify that I attended deceased from 01 January 1945 to 23 January 1945, that I last saw him alive on 23 January 1945, and that death occurred on the date stated above at 11:35 p.m.
Immediate cause of death:  Lobar Pneumonia 
Duration:  01 week
Due to:  (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  Mark Dempsey, M.D., Garrett, Ky.
Date signed:  28 March 1945 
Transcribed by Debbie Tamborski, 27 November 2010