Date: 11 July 1950
Cert: 14721
Place of Death: County: Knott
City or Town: Corida (Rural)
Length of stay (in this place): (blank)
Street address or location: Home at Corida
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Corida (Rural) Street Address:
(blank)
Full Name: Cassie MARTIN
Date of Death: 11 July 1950
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 1902
Age: 48 years
Usual Occupation: Housewife
Kind of Industry or business: Home
Birthplace: Cordia, Ky.
Father's Name: Alex SMITH
Mother's Maiden Name: Nancy STACY
Was deceased ever in armed forces: No
Social Security No.: None
Informant: Allen MARTIN
Disease or condition directly leading to death: Acute heart
failure
Interval between onset and death: Instant
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 11 July 1950 to
11 July 1950, that I last saw the deceased alive on 11 July
1950, and
that death occurred at 9:30 a.m., from the causes and on the
date stated above.
Date signed: 21 July 1950
Address: Allock
Signature: A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date: 13 July 1950
Name of Cemetery or Crematory: Feltner Cemetery
Location: Cordia, Ky.
Date received by local registrar: 26 July 1950
Registrar's Signature: Rose B. Craft
Funeral director & address: Maggard & Garrett,
Hazard, Ky.
Transcribed by Debbie Tamborski, 15 January 2011 |