Date:   12 January 1942
Cert:   01763 
Place of Death: County: Knott     City or Town: Lackey, Ky.
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Mousie, Ky.
Full Name:  Gilbert MARTIN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Widowed
Husband or Wife of:  Marry
Age of husband or wife if alive: (blank)
Birth date of deceased:  03 January 1864
Age: 78 years, 09 days
Birthplace:  Floyd Co.
Occupation:  Farmer
Industry or business: (blank)
Father Name:  John MARTIN
Father Birthplace:  Floyd Co.
Mother Maiden Name:  Polly HIGGANS
Mother Birthplace:  Floyd Co.
Informant:  Juddie MARTIN, Mousie, Ky.
Burial Place:  Mousie, Ky.
Date:  13 January 1941 (transcribed as written)
Signature of funeral director:  O. T. Lemaster, Martin, Ky.
Date received by local registrar:  05 February 1942
Registrar's Signature:  Ida Livingston
Date of Death:  12 January 1942
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at 9 p.m.
Immediate cause of death:  Cerebral hemorrhage
Duration: 02 weeks
Due to: generalized arteriosclerosis
Duration:  10 years
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. R. Messer, M.D., Lackey, Ky.
Date signed:  04 February 1942
Transcribed by Debbie Tamborski, 17 October 2010