DEATH CERTIFICATE

MAUDIE MARTIN

Date:    16 September 1948
Cert:    19031
Place of Death: County: Knott   City or Town:  Cordia
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town:  Cordia 
Full Name:  Maudie MARTIN 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status: Female, White, Single 
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:   16 June 1925
Age:  23 years, 03 months, 00 days
Birthplace:  Knott 
Occupation:  (blank) 
Industry or business:  (blank)
Father Name:  Allen MARTIN 
Father Birthplace:  Knott 
Mother Maiden Name:  Cassie SMITH 
Mother Birthplace:   Knott 
Informant:  Mrs. Allen MARTIN, Cordia, Ky. 
Burial Place:   Martin (Knott) 
Date:  17 September 1948 
Signature of funeral director:  Engle's, Hazard, Ky.
Date received by local registrar:  29 September 1948 
Registrar's Signature:  Rose B. Craft
Date of Death:  16 September 1948 
I hereby certify that I attended deceased from 12 July 1948 to 16 September 1948, that I last saw him alive on 16 September 1948, and that death occurred on the date stated above at 11 p.m.
Immediate cause of death:  Pulmonary T. B.
Duration: (illegible) years
Due to:  (blank)
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 & Address: A. B. Pigman, M.D., Allock
Date signed:  22 September 1948 
Transcribed by Debbie Tamborski, 27 December 2010