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DEATH
CERTIFICATE
MARION MARTIN
Date 10 April 1942
Cert: 10024
Place of Death: County: Perry City or Town:
Hazard, Ky.
Hospital or Institution: Hazard Hospital Co.
Length of stay in hospital or community: 01 day
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Rural
Full Name: Marion MARTIN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Widowed
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 13 March 1913
Age: 29 years
Birthplace: Knott Co., Ky.
Occupation: Deputy Sheriff
Industry or business: (blank)
Father Name: Tilden MARTIN
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Maggie VANCE
Mother Birthplace: Knott Co., Ky.
Informant: Milt MARTIN, Allen, Ky.
Burial Place: (blank)
Date: (blank)
Signature of funeral director: Ryan, Martin, Ky.
Date received by local registrar: 10 April 1942
Registrar's Signature: Anna Laura Boulos
Date of Death: 10 April 1942
I hereby certify that I attended deceased from 09 April 1942 to
10 April 1942, that I last saw him alive on 10 April 1942, and
that death occurred on the date stated above at 4:20 p.m.
Immediate cause of death: Generalized Peritonitis
Duration: (blank)
Due to: Gunshot wound of abdomen
Major findings of operations: Perforated urinary bladder and
perforated intestines
Accident, suicide, or homicide: Homicide
Date of occurrence: 09 April 1942
Where did injury occur: Hindman, Ky.
While at work: Yes
Means of injury: Gunshot
Signature & Address: A. W. Wright, M.D., Hazard, Ky.
Date signed: 10 April 1942
Transcribed by Debbie Tamborski, 26 May 2010 |
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