|
DEATH
CERTIFICATE
VERNON MARTIN
Date: 12 December 1950
Cert: 27490
Place of Death: County: Menifee City or Town:
Rural
Length of stay (in this place): (blank)
Street Address or Location: Levee Rd.
Residence of Deceased: State: Kentucky County:
Montgomery
City or Town: Rural Street
Address: Levee Road
Full Name: Vernon MARTIN
Date of Death: 12 December 1950
Sex, Color or Race, Marital Status: Male, White, Single
Date of Birth: 02 September 1934
Age: 16 years, 03 months, 10 days
Usual Occupation: School Boy
Kind of Industry or business: (blank)
Birthplace: Knott County, Ky.
Father's Name: Johnnie MARTIN
Mother's Maiden Name: Ada ADAMS
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant: Johnnie MARTIN
Disease or condition directly leading to death:
Fractured skull, ribs, and internal injuries
Interval between onset and death: minutes
Due to: Car wreck
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: no
Accident, suicide, or homicide: Accident
Place of injury: highway
City or Town, County, State: Morgan Co., Ky.
Time of Injury: 12 December 1950 10:00 p.m.
Injury occurred at work: Not while at work
How did injury occur: Hi school kids playing with cars
Pt. was dead when examined by me in the emergency room at the
hospital at 10:25 p.m., 03 minutes after admission
Date signed: 15 December 1950
Address: Frenchburg, Ky.
Signature: D. L. Granes, M.D.
Burial, Cremation or Removal: Burial
Date: 15 December 1950
Name of Cemetery or Crematory: Family (Martin)
Location: Montgomery County, Ky.
Date received by local registrar: 09 March 1951
Registrar's Signature: Mrs. Ora Cox
Funeral director & address: Eastin-Richey, Mt.
Sterling, Ky.
Transcribed by Debbie Tamborski, 15 July 2010 |
|