Date:   05 October 1941
Cert:   29455 
Place of Death: County: Knott     City or Town: Lackey
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:  Puncheon, Ky.
Full Name:  Ibra MARTIN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of:  Marie MARTIN
Age of husband or wife if alive:  27 years
Birth date of deceased:  10 June 1913
Age: 28 years, 04 months, 25 days
Birthplace:  Puncheon, Ky.
Occupation:  Farmer
Industry or business: (blank)
Father Name:  Hays MARTIN
Father Birthplace:  Knott Co.
Mother Maiden Name:  Sallie BUTTS
Mother Birthplace:  Knott Co.
Informant:  Marie MARTIN, Puncheon, Ky.
Burial Place:  Puncheon, Ky.
Date:  07 October 1941
Signature of funeral director: O. T. Lemaster, Martin, Ky.
Date received by local registrar:  (blank)
Registrar's Signature:  (blank)
Date of Death:  05 October 1941
I hereby certify that I attended deceased from 04 September 1941 to 05 October 1941, that I last saw him alive on 04 October 1941, and that death occurred on the date stated above at 9:45 a.m.
Immediate cause of death: Skull fracture multiple lacerations
Duration: 20 hours
Due to: Automobile accident
Major findings of operations: (blank)
Accident, suicide, or homicide: acc.
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
Date signed:  (blank)
Transcribed by Debbie Tamborski, 14 October 2010