Date: 18 April 1945
Cert: 13025
Place of Death: County: Knott City or
Town: Fisty, Ky. Rural
Street Number or Location: Rural
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Fisty P.O.
Street No.: Rural
Full Name: Martha HOLLIFIELD
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Widow
Husband or Wife of: Thomas HOLLIFIELD
Age of husband or wife if alive: (blank)
Birth date of deceased: 13 March 1864
Age: 81 years, 01 months, 06 days
Birthplace: Perry County
Occupation: M.D.
Industry or business: (blank)
Father Name: George Washington HURT
Father Birthplace: Unknown
Mother Maiden Name: Susan COMBS
Mother Birthplace: Perry County
Informant: Sam HOLLIFIELD, Fisty, Ky.
Burial Place: Beech Creek
Date: 20 April 1945
Signature of funeral director: None
Date received by local registrar: 28 June 1945
Registrar's Signature: Rose B. Craft
Date of Death: 18 April 1945
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: Bronchial asthma
Major findings of operations: None
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: 30 June 1945
Transcribed by Debbie Tamborski, 28 November 2010 |