DEATH CERTIFICATE

MARTHA JONES

Date  21 October 1922
Cert: #  27750
Name:  Martha JONES
Place of Death: Voting Pct. #6, Knott Co., KY
Female, White, Married
Birth Date:  03 March 1849
Age:  73 years, 07 months, 18 days
Occupation:  Housework
Place of Birth:  Ky.
Name of Father:  Rich HERALD 
Birthplace Father:  Ky. 
Maiden Name of Mother:  Kits COUCH
Birthplace Mother:  Ky. 
Informant:  Jim JONES, Sassafras, Ky.
Death Date:  21 October 1922 
Cause of Death:  Tuberculosis of Bowels 
Signed:  R. L. Kelly, M.D.
Burial Place:  (blank) 
Date of Burial:  (blank) 
Undertaker: (blank) 
File Date:  10 December 1922 
Transcribed by Debbie Tamborski, 14 January 2009