DEATH CERTIFICATE

BILL MARTIN

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