Date: 16 March 1946
Cert: 15915
Place of Death: County: Knott City or
Town: Mousie, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Mousie Rural
Full Name: George MARTIN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Married
Husband or Wife of: Minta MARTIN
Age of husband or wife if alive: 80 years
Birth date of deceased: 15 November 1865
Age: 80 years, 04 01 months, days
Birthplace: Knott Co., Ky.
Occupation: Farming
Industry or business: Farmer
Father Name: Richard MARTIN
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Minnie SIZEMORE
Mother Birthplace: Knott Co., Ky.
Informant: Joel MARTIN, Mousie, Ky.
Burial Place: Mousie, Ky.
Date: 18 March 1946
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 13 July 1946
Registrar's Signature: Mrs. Rose B. Craft
Date of Death: 16 March 1946
I hereby certify that I attended deceased from 14 March 1946 to
14 March 1946, that I last saw him alive on 14 March 1946, and
that death occurred on the date stated above at 2:30 p.m.
Immediate cause of death: Coronary Thrombosis
Duration: (blank)
Due to: Coronary Thrombosis
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: J. B. Summer, M.D., Hazard, Ky.
Date signed: 12 July 1946
Transcribed by Debbie Tamborski, 08 December 2010 |