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DEATH
CERTIFICATE
ALEX MARTIN
Date 20 March 1931
Cert: 16622
Place of Death: Voting Pct: Estill, Martin, Floyd Co., Ky.
Full Name: Alex MARTIN
Residence: (blank)
Length of Residence in city where death occurred:
(blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: (blank)
Date of Birth: 03 September 1859
Age: 71 years, 05 months, 17 days
Occupation: Merchant
Birthplace: Knott Co., Ky.
Father Name: Wyatt MARTIN
Birthplace Father: Va.
Mother Maiden Name: Betsy STUMBO
Birthplace Mother: Ky.
Informant/Address: John MARTIN, Garrett, Ky.
Filed: 20 March 1931
Registrar: Mrs. M. V. Wicker
Death of Date: 20 March 1931
I hereby certify that I attended deceased from 05 March 1931 to
20 March 1931, that I last saw him alive on 20 March 1931, and
that death occurred on the date stated above at 11:30 a.m
Cause of Death: Aortic Regurgitation, Chronic valvular
lesion and arteriosclerosis
Duration: (blank)
Contributory: (blank)
Duration: (blank)
Where was disease contracted if not at place of death?:
(blank)
Did an operation precede death: (blank) Date: (blank)
Was there an autopsy: (blank)
What test confirmed diagnosis: (blank)
Signed/Address: M. V. Wicker, M.D., 20
March 1931, Wayland, Ky.
Place of Burial or Removal: Wayland
Date of Burial: 21 March 1931
Undertaker/Address: E. P. Arnold, Prestonsburg
Transcribed by Debbie Tamborski, 30 March 2010 |
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