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DEATH
CERTIFICATE
NEWTON MARTIN
Date 13 November 1918
Cert: 32965
Place of Death: Voting Precinct: E. Irvine #1, Red Cross
Hospital, Irvine, Estill Co., Ky.
Full Name: Newton MARTIN
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 16 October 1886
Age: 31 years, 11 months, 28 days
Occupation: R. R. Fireman
Birthplace: Knot Co., Ky.
Name of Father: William MARTIN
Birthplace Father: Ky.
Maiden name of Mother: Rachel YOUNG
Birthplace Mother: Ky.
Informant/Address: Burley MARTIN, Carrie, Ky.
Filed: (blank)
Registrar: Maude Embry
Death Date: 13 November 1918
I hereby certify that I attended deceased from 30 October 1918, to
13 November 1918, that I last saw him alive on (illegible)
1918, and that death
occurred, on the date stated above, at (blank)
Cause of Death: Influenza
Duration: (blank)
Contributory: Pneumonia
Signed/Address: C. Marcum., M.D., Irvine, Ky.
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: Knot Co., Ky.
Date of Burial: 14 November 1918
Undertaker/Address: R. M. Bergman, Irvine, Ky.
Transcribed by Debbie Tamborski, 28 February 2010 |
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