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DEATH
CERTIFICATE
Mrs. MARTHA LITTLE
Date 26 January 1943
Cert: 03355
Place of Death: County: Floyd City or Town:
Weeksbury
Street No. or Location: (blank)
Length of stay in hospital or community: 02 months
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Weeksbury
Full Name: Mrs. Martha LITTLE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widowed
Husband or Wife of: Aph LITTLE
Age of husband or wife if alive: (blank)
Birth date of deceased: 21 January 1869
Age: 74 years, 06 days
Birthplace: Hall, Knott Co., Ky.
Occupation: none
Industry or business: (blank)
Father Name: Jim HALL
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Nancy DAVIS
Mother Birthplace: Knott Co., Ky.
Informant: (X his mark) Ballard LITTLE, Weeksbury, Ky.
Burial Place: Weeksbury, Ky.
Date: 27 January 1943
Signature of funeral director: none
Date received by local registrar: 16 February 1943
Registrar's Signature: Winifred Norris
Date of Death: 26 January 1943
I hereby certify that I attended deceased from 24 December
1942 to
26 January 1943, that I last saw him alive on 26 January 1943, and that death
occurred on the date stated above at 6:00 a.m.
Immediate cause of death: Coronary Thrombosis
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: Robert M. Sirkle, M.D.,
Weeksbury, Ky.
Date signed: 27 January 1943
Transcribed by Debbie Tamborski, 31 May 2010 |
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