Date: 30 October 1942
Cert: 01856
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: Knott
City or Town: Lackey
Full Name: Mart HUFF
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White
Husband or Wife of: Mary HUFF
Age of husband or wife if alive: 58 years
Birth date of deceased: 11 October 1875
Age: 65 years, 00 months, 11 days
Birthplace: Knott Co., Ky.
Occupation: Sawmill Hand
Industry or business: (blank)
Father Name: Robert HUFF
Father Birthplace: Virginia
Mother Maiden Name: Jane MARTIN
Mother Birthplace: Floyd Co., Ky.
Informant: Mary HUFF, Mousie, Ky.
Burial Place: Soft Shell, Ky.
Date: 01 November 1942
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 05 January 1943
Registrar's Signature: Ida Livingston
Date of Death: 30 October 1942
I hereby certify that I attended deceased from 30 October 1942 to
30 October 1942, that I last saw him alive on 30 October 1942, and that death
occurred on the date stated above at 9:40 p.m.
Immediate cause of death: (illegible) obstruction of bowel
Duration: (blank)
Due to: Fracture (illegible) of 264 lumbar vertebrae
Major findings of operations: (blank)
Accident, suicide, or homicide: accident
Date of occurrence: 30 October 1942
Where did injury occur: Industrial/Sawmill
While at work: (blank)
Means of injury: (blank)
Signature & Address: C. J. Kelso, M.D.
Date signed: (blank)
Transcribed by Debbie Tamborski, 17 October 2010 |