DEATH CERTIFICATE

 WILBURN MARTIN ELLIOTT

Date:    02 May 1944
Cert:    13028 
Place of Death: County: Knott   City or Town:  Lackey
Name of Hospital or Institution: Stumbo Mem. Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County:  Floyd
City or Town:  West Prestonsburg 
Full Name:  Wilburn Martin ELLIOTT 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Male, White, Married
Husband or Wife of:  Annie ELLIOTT
Age of husband or wife if alive: 50 years
Birth date of deceased:  02 March 1867 
Age:  77 years, 02 months, 00 days
Birthplace:  Floyd Co., Ky. 
Occupation:   Farmer 
Industry or business: (blank)
Father Name:  Robert S. ELLIOTT 
Father Birthplace:  Floyd Co., Ky. 
Mother Maiden Name:   Lurania HAMILTON 
Mother Birthplace:  Floyd Co., Ky. 
Informant:  Robert C. ELLIOTT, Pikeville, Ky. 
Burial Place:  Beaver, Ky. 
Date:   05 May 1944 
Signature of funeral director:  W. J. Ryan, Martin, Ky.
Date received by local registrar:  (blank) 
Registrar's Signature: (blank) Per B. Carns
Date of Death:  02 May 1944 
I hereby certify that I attended deceased from 02 May 1944 to 02 May 1944, that I last saw him alive on (blank), and that death occurred on the date stated above at 4:45 p.m.
Immediate cause of death:  Cardiac Failure 
Duration: (blank)
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:  A. N. Hodge, M.D., Lackey, Ky.
Date signed:  14 March 1945 
Transcribed by Debbie Tamborski, 12 November 2010