Date:    19 September 1948
Cert:    21274 
Place of Death: County: Knott  City or Town:  Lackey, Ky. Rural
Name of Hospital or Institution: Stumbo Mem.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.     County:  Floyd
City or Town:  Wayland 
Full Name:  Donald 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:  03 September 1948 
Age:  16 days
Birthplace:   Lackey, Ky.
Occupation:  (blank) 
Industry or business:  (blank)
Father Name:  Marian MARTIN 
Father Birthplace:  Wayland, Ky. 
Mother Maiden Name:   Thelma TERRY 
Mother Birthplace:   Wayland, Ky. 
Informant:  Marian MARTIN, Wayland, Ky. 
Burial Place:   Wayland, Ky.
Date:  20 September 1948 
Signature of funeral director:  W. J. Ryan, Martin, Ky.
Date received by local registrar:  15 October 1948 
Registrar's Signature: Rose B. Craft
Date of Death:  19 September 1948 
I hereby certify that I attended deceased from 18 September 1948 to 19 September 1948, that I last saw him alive on 19 September 1948, and that death occurred on the date stated above at 8:00 a.m.
Immediate cause of death:  Toxemia 
Duration: (blank)
Due to:  Infectious Diarrhea
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:  C. M. Aker, M.D., Lackey, Ky.
Date signed:  13 October 1948 
Transcribed by Debbie Tamborski, 27 December 2010