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DEATH
CERTIFICATE
MILTON MARTIN
Date 06 August 1939
Cert: 19896
Place of Death: Voting Pct. Beaver Valley Hosp., New Martin,
Martin, Floyd Co., Ky.
Full Name: Milton MARTIN
Residence: Wheelwright, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Martha MARTIN
Date of Birth: (blank)
Age: 56 years
Occupation: Worked for Inland (illegible) Corp.
Birthplace: Knott Co., Ky.
Father Name: David MARTIN
Birthplace Father: Knott Co., Ky.
Mother Maiden Name: Ann
Birthplace Mother: (blank)
Informant/Address: Canton MARTIN, Wheelwright, Ky.
Burial Cremation Removal Place: Melvin, Ky.
Date: 08 August 1939
Undertaker/Address: W. P. Call, Pikeville, Ky.
Filed: 06 August 1939
Registrar: Mrs. Ben Norris
Death of Date: 06 August 1939
I hereby certify, That I attended deceased from (blank) to
(blank), that I last saw him alive on 06 August 1939, death is
said to have occurred on the date stated above, at 2:15 a.m.
Cause of Death: Carcinoma of stomach. Secondary
metastases on liver
Date of onset: (blank)
Contributory causes: (blank)
Name of operation: (blank)
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: A. Rabin, M.D., Martin, Ky.
Transcribed by Debbie Tamborski, 05 May 2010 |
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