Date: 16 January 1946
Cert: 09428
Place of Death: County: Knott City or
Town: Lackey
Name of Hospital or Institution: Stumbo Mem.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Kite, Ky.
Full Name: Robert MARTIN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Married
Husband or Wife of: Virgie MARTIN
Age of husband or wife if alive: 51 years
Birth date of deceased: 02 May 1876
Age: 69 years, 08 months, 14 days
Birthplace: Minnie, Ky.
Occupation: School Teacher
Industry or business: (blank)
Father Name: Elimander MARTIN
Father Birthplace: Minnie, Ky.
Mother Maiden Name: Evilon HALL
Mother Birthplace: Knott Co.
Informant: Annie AKERS, Drift, Ky.
Burial Place: Kite, Ky.
Date: 19 January 1946
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 24 April 1946
Registrar's Signature: Mrs. Rose B. Craft
Date of Death: 16 January 1946
I hereby certify that I attended deceased from 13 January 1946 to
16 January 1946, that I last saw him alive on 16 January 1946, and that death
occurred on the date stated above at 2 p.m.
Immediate cause of death: Cardio - Nephritic condition.
Chronic intestinal Nephritis
Duration: (blank)
Due to: Uremia
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. P. Hodge, Lackey, Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 08 December 2010 |