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DEATH
CERTIFICATE
Mrs. KATE MARTIN
Date 14 August 1950
Cert: 17023
Place of Death: County: Nelson City or Town: New Haven, Ky.
Length of stay in hospital or community: 05 years
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Somerset (illegible)
Full Name: Mrs. Kate MARTIN
Date of Death: 14 August 1950
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 10 April 1885
Age: 65 years, 04 months, 04 days
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace: Knott Co., Kentucky
Father's Name: Thomas ABRAMS
Mother's Maiden Name: Katie SIZEMORE
Was deceased in ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Mr. George MARTIN (husband)
Disease or condition directly leading to death: Broncho
- pneu.
Interval between onset and death: 02 days
Due to: Hypertension & arteriosclerosis
Interval between onset and death: 03 years
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (blank)
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 January 1946 to
August 1950, that I last saw the deceased alive on (blank),
and that death occurred on the date stated above at (blank),
from the causes and on the date stated above.
Date signed: 01 September 1950
Address: Bardstown, Ky.
Signature: T. G. Forsie, M.D.
Burial, Cremation or Removal: Burial
Date: 16 August 1930
Name of Cemetery or Creamatory: Riverview Cemetery
Location: New Haven, Ky.
Date received by local registrar: 02 September 1950
Registrar's Signature: Louise Seay
Funeral director and address: Nick Greenwell, New Haven,
Ky.
Transcribed by Debbie Tamborski, 16 February 2010 |
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