Date:   07 December 1943
Cert:   02176 
Place of Death: County: Knott     City or Town: Rural Hindman
Street No. or Location:  Hindman
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Hindman, Ky.     Rural
Full Name:  Martha CORNETTE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widowed
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  1882
Age: 61 years
Birthplace:   Knott Co., Ky.
Occupation:  House Keeper
Industry or business: (blank)
Father Name:  Joe CORNETTE
Father Birthplace:  Knott Co., Ky.
Mother Maiden Name:  Susania CAUDILL
Mother Birthplace:  Knott Co., Ky.
Informant:  Mrs. John SEXTON, Lothair, Ky.
Burial Place:  Hindman, Ky.
Date:  09 December 1943
Signature of funeral director: Engles, Hazard, Ky.
Date received by local registrar:  15 December 1943
Registrar's Signature:  Ida Livingston
Date of Death:  07 December 1943
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death:  Pneumonia
Duration: (blank)
Due to: Abdoman (illegible)
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:  J. W. Duke, M.D., Hindman, Ky.
Date signed:  16 December 1943
Transcribed by Debbie Tamborski, 23 October 2010