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DEATH
CERTIFICATE
Mrs. HELEN MARTIN
Date 09 June 1933
Cert: 25802
Place of Death: Voting Pct.: Maytown #32, Floyd Co., Ky.
Full Name: Mrs. Helen MARTIN
Residence: Langley, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status:
Female, White, Widow ? [sic]
Husband or Wife of: Wm. J. MARTIN
Date of Birth: 08 February 1841
Age: 92 years, 04 months, 01 days
Occupation: (blank)
Birthplace: Knott Co., Ky.
Father Name: Andrew MARTIN
Birthplace Father: Garrett, Floyd Co., Ky.
Mother Maiden Name: Betsy OSBORNE
Birthplace Mother: Va.
Informant/Address: Hattie TURNER, Langley, Ky.
Burial Cremation Removal Place: Beaver Creek, Ky.
Date: 11 June 1933
Undertaker/Address: E. P. Arnold, Prestonsburg, Ky.
Filed: 04 December 1933
Registrar: A. L. Howard per B. Carns
Death of Date: 09 June 1933
I hereby certify, That I attended deceased from (blank) to
(blank), that I last saw h-- alive on (blank), death is said
to have occurred on the date stated above, at (blank)
Cause of Death: Pneumonia
Date of onset: (blank)
Contributory causes: acute dilation of heart
Name of operation: (blank)
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: J. W. Allen, M.D., Langley, Ky.
Transcribed by Debbie Tamborski, 02 April 2010 |
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