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DEATH
CERTIFICATE
MARYBELL MARTIN
Date 25 January 1945
Cert: 04419
Place of Death: County: Perry Co. City or
Town: Hazard
Name of Hospital or Institution: Hazard Hosp. Co.
Length of stay in hospital or community:
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural (Sassafras)
Full Name: Marybell MARTIN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Rex MARTIN
Age of husband or wife if alive: 40 years
Birth date of deceased: 11 September 1905
Age: 39 years, 04 months, 13 days
Birthplace: Knott Co.
Occupation: House Wife
Industry or business: (blank)
Father Name: Albert MADON
Father Birthplace: Knott Co.
Mother Maiden Name: Lidie CORNETT
Mother Birthplace: Knott Co.
Informant: Rex MARTIN, Sasfrass, Ky.
Burial Place: Irishman
Date: 28 January 1945
Signature funeral director: Maggard Funeral Home, Hazard, Ky.
Date received by local registrar: 28 January 1945
Registrar's Signature: A. L. Boulos by O. Deaton
Date of Death: 25 January 1945
I hereby certify that I attended deceased from 22 January 1945 to
25 January 1945, that I
last saw him alive on 25 January 1945, and that death occurred on the date
stated above at 2:45 a.m.
Immediate cause of death: Malignant hypertension
Due to: Chronic nephritis
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature: Chris S. Jackson, Hazard, Ky.
Date signed: 26 January 1945
Transcribed by Debbie Tamborski, 09 February 2010 |
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