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DEATH
CERTIFICATE
MADGE MARTIN
Date: 26 February 1947
Cert: 11462
Place of Death: County: Johnson City or Town:
Paintsville
Hospital or Institution: Paintsville Hosp.
Length of stay in hospital or community: (illegible)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Garrett
Full Name: Madge MARTIN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Jennings MARTIN
Age of husband or wife if alive: (blank)
Birth date of deceased: 04 March 1914
Age: 33 years, 11 months, 26 days
Birthplace: Hindman
Occupation: Teacher
Industry or business: (blank)
Father Name: Robert B. MULLINS
Father Birthplace: Whitesburg, Ky.
Mother Maiden Name: Laura BAILEY
Mother Birthplace: Gunlock, Ky.
Informant: Mrs. Joan BREWER, Dayton, Ohio
Burial Place: Garrett, Ky.
Date: 01 March 1947
Signature of funeral director: E. P. Arnold, Prestonsburg, Ky.
Date received by local registrar: 16 May 1947
Registrar's Signature: Madge Salyer
Date of Death: 26 February 1947
I hereby certify that I attended deceased from 07 February
1947 to
26 February 1947, that I last saw him alive on 26 February
1947, and that death
occurred on the date stated above at 4 a.m.
Immediate cause of death: Ectopic Pregnancy
Duration: 02 weeks
Due to: (blank)
Other conditions: Hemorrhage
Major findings of operation: Same
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Paul B. Hall, M.D., Paintsville
Date signed: 28 April 1947
Transcribed by Debbie Tamborski, 24 June 2010 |
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