DEATH CERTIFICATE

FLORA MARTIN

Date:  23 January 1953
Cert:  03530 
Place of Death: County: Knott      City or Town: Sassafras
Length of stay (in this place): (blank)
Street address or location:  (blank)
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  Sassafras     If rural give location: (blank)
Full Name:  Flora MARTIN 
Date of Death:  23 January 1953 
Sex, Color or Race, Marital Status: Female, White, Widow
Date of Birth:  October 1877 
Age:   76 years
Usual Occupation:  (blank)
Kind of Industry or business: Housewife
Birthplace:  Knott Co., Ky. 
Father's Name:  John COMBS 
Mother's Maiden Name:  Paulina COMBS 
Was deceased ever in armed forces: (blank)
Social Security No.:  (blank)
Informant:  Raymond MARTIN 
Disease/condition directly leading to death: Bronchial Pneumonia
Interval between onset and death:  (blank)
Due to (b):  Congestive Heart Disease
Due to (c):  Senility
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 10 March 1952 to 23 January 1953, that I last saw the deceased alive on 22 January 1953, and that death occurred at 11:00 a.m., from the causes and on the date stated above.
Date signed:  20 February 1953 
Address:   Allock 
Signature:  A. B. Pigman, M.D. 
Burial, Cremation or Removal:  Burial
Date:  25 January 1953 
Name of Cemetery or Crematory:  Smithsboro Cemetery
Location:   Smithsboro, Ky. 
Date received by local registrar:  26 February 1953
Registrar's Signature:  Rose B. Craft
Funeral director & address:  John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 09 February 2011