|
DEATH
CERTIFICATE
CRUGER MARTIN
Date: 06 April 1952
Cert: 08802
Place of Death: County: Bath City or Town:
Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Montgomery
City or Town: Rural Street
Address: Levee Road
Full Name: Cruger MARTIN
Date of Death: 06 April 1952
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 13 April 1928
Age: 24 years
Usual Occupation: Laborer
Kind of Industry or business: Pipe Line
Birthplace: Knott County, Ky.
Father's Name: Johnie MARTIN
Mother's Maiden Name: Ada ADAMS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Johnie MARTIN
Disease or condition directly leading to death: gun shot wound
on left side of Cranium and in left breast just above heart
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: no
Accident, suicide, or homicide: Homicide
Place of injury: (blank)
City or Town, County, State: Owingsville, Rural, Bath, Ky.
Time of Injury: 06 April 1952 (illegible) p.m.
Injury occurred at work: Not while at work
How did injury occur: Shot by Deputy Sheriff Charley Staton
I hereby certify that I attended deceased from 06 April 1952 to
06 April 1952, that I last saw the deceased alive on dead on
my arrival, and
that death occurred at 3 p.m., from the causes and on the
date stated above.
Date signed: 08 April 1952
Address: Owingsville, Ky.
Signature: J. (illegible B??ly), Coroner, Bath Co.
Burial, Cremation or Removal: Burial
Date: 09 April 1952
Name of Cemetery or Crematory: Martin Cemetery
Location: Mt. Sterling, Rural, Montgomery, Ky.
Date received by local registrar: April 1952
Registrar's Signature: Mrs. Pearl Brostat
Funeral director & address: Eastin & Richey, Mt.
Sterling, Ky.
Transcribed by Debbie Tamborski, 11 August 2010 |
|