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DEATH
CERTIFICATE
HARRY MARTIN
Date 05 January 1934
Cert: 02284
Place of Death: Voting Pct.: No. 25, Hazard Hospital,
Hazard, Perry Co., Ky.
Full Name: Harry MARTIN
Residence: Ravenna, Ky.
Length of Residence: 06 years
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Mrs. Harry MARTIN
Date of Birth: 11 March 1889
Age: 44 years, 09 months, 25 days
Occupation: R. R. Fireman
Birthplace: Hindman, Ky.
Father Name: William MARTIN
Birthplace Father: Kentucky
Mother Maiden Name: Rachel YOUNG
Birthplace Mother: Kentucky
Informant/Address: R. B. MARTIN, Sassafras, Ky.
Burial Cremation Removal Place: Carrie, Ky.
Date: 08 January 1934
Undertaker/Address: H. Engle, Hazard, Ky.
Filed: 09 January 1934
Registrar: J. P. Boggs
Death of Date: 05 January 1934
I hereby certify, That I attended deceased from 05 January
1934 to
05 January 1934, that I last saw him alive on 05 January 1934, death is said
to have occurred on the date stated above, at 10:10 p.m.
Cause of Death: Compound (illegible) fracture of skull
Date of onset: 05 January 1934
Contributory causes: Railroad accident
Date of onset: 05 January 1934
Name of operation: Decompression
Date of: 05 January 1934
Was there an autopsy: No
Accident, suicide, homicide: Accident
Date of Injury: 05 January 1934
Where did injury occur: Blackey, Ky.
Specify whether injury occurred industry, home,
public place: Public Place
Manner of injury: Fell from engine
Nature of injury: (blank)
Related to occupation: Yes If so, specify:
As stated above
Signed/Address: J. E. Hagan, M.D., Hazard, Ky.
Transcribed by Debbie Tamborski, 16 April 2010 |
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