Date: 01 July 1944
Cert: 13037
Place of Death: County: Knott County City or
Town: Pippapass Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Pippapass Rural
Full Name: Bill MARTIN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 07 November 1943
Age: 07 months, 04 days
Birthplace: Lackey, Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Fred MARTIN
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Ada HALL
Mother Birthplace: Knott Co., Ky.
Informant: Fred MARTIN, Pippapass, Ky.
Burial Place: Hollybush, Ky.
Date: 03 July 1944
Signature of funeral director: Virgil CAUDILL, Hollybush,
Ky.
Date received by local registrar: 26 February 1944
Registrar's Signature: Ida Livingston Rose B. Craft
Acting L. R.
Date of Death: 01 July 1944
I hereby certify that I attended deceased from 01 July 1944 to
01 July 1944, that I last saw him alive on 01 July 1944, and
that death occurred on the date stated above at 8 p.m.
Immediate cause of death: Lobar pneumonia
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: M. F. Kelley, M.D., Hindman,
Ky.
Date signed: 26 February 1945
Transcribed by Debbie Tamborski, 15 November 2010 |