Date 14 January 1954
Cert: # 18286
Place of Death: County: Knott
City or Town: Lackey
Length of stay in hospital or community: ?
Name of Hospital or Institution: Stumbo Memorial
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Lackey
Full Name: Burke Martin
Date of Death: 24 August 1954
Sex, Color or Race, Marital Status: male, white, married
Date of Birth: 22 March 1922
Age: 31
Usual Occupation: Prop Engineer
Kind of Industry or business: Coal
Birthplace: Ky
Father's Name: Harry Martin
Mother's Maiden Name: Elizabeth Salisbury
Was deceased in ever in armed forces: unknown
Social Security No.: (blank)
Informant: Nell Martin
Disease or condition directly leading to death: Head Injury ~
Cerebral Hemmorhage
Interval between onset and death:
Due to: Blow sustained in car accident
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (blank)
Accident, suicide, or homicide: Accident
Place of injury: Mousie, Ky
City or Town, County, State: Mousie, Knott Ky
Time of Injury: 14 Jan 1954 3:30 PM
Injury occurred at work: At Work
How did injury occur: Car Accident
I hereby certify that I attended deceased from 24 Jan 1954 to
24 Jan 1954, that I last saw the deceased alive on 24 Jan
1954, and that death occurred 4:30 PMon the date stated above
at from the causes and on the date stated above.
Date signed: 01 February 1954
Address: Lackey, Ky
Signature: Eldon Dykes, MD
Burial, Cremation or Removal: Burial
Date: 27 Jan 1954
Name of Cemetery or Crematory: Family Cemetery
Location: Grayson Ky
Date received by local registrar: 15 March 1954
Registrar's Signature: Rose B. Craft
Funeral director and address: John C. Hall ~ Martin, Ky
Transcribed by Gloria Marcum ~ 17 March 2010 |