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DEATH
CERTIFICATE
JOHN BUD MARTIN
Date: 20 October 1951
Cert: 20601
Place of Death: County: Jefferson City or Town:
Louisville
Length of stay (in this place): 17
Name of Hospital or Institution: St. Joseph's Hosp.
Usual Residence of Deceased: State: Ky. County:
Estill
City or Town: Rice Station Street Address: (blank)
Full Name: John Bud MARTIN
Date of Death: 20 October 1951
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 25 April 1875
Age: 76 years, 05 months, 25 days
Usual Occupation: Farmer
Kind of Industry or business: Agriculture
Birthplace: Knott Co., Ky.
Father's Name: George MARTIN
Mother's Maiden Name: (blank)
Was deceased ever in armed forces: no
Social Security No.: (blank)
Informant: Mrs. Martha MARTIN (wife)
Disease or condition directly leading to death: Aortic
Stenosis
Interval between onset and death: (blank)
Due to (b): Rheumatic Heart Disease
Due to (c): Rheumatic Fever
Other significant conditions: (illegible ?ia?)
Major findings of operation: (blank)
Autopsy: no
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 10 January 1951 to
20 October 1951, that I last saw the deceased alive on 20
October 1951, and
that death occurred at 12 noon, from the causes and on the
date stated above.
Date signed: 29 October 1951
Address: Louisville
Signature: W. D. Hartman, M.D.
Burial, Cremation or Removal: Burial
Date: 22 October 1951
Name of Cemetery or Crematory: Beattyville
Location: Beattyville, Ky.
Date received by local registrar: 01 November 1951
Registrar's Signature: Angela Hendricks
Funeral director & address: Embry-Bosse, 2725
Preston, by James G. Embry
Transcribed by Debbie Tamborski, 23 July 2010 |
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