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DEATH
CERTIFICATE
WILLIAM MARTIN
Date 29 November 1911
Cert: 27651
Place of Death: Voting Precinct: Buckhorn, Breathitt
Co., KY
Full Name: William MARTIN
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 05 July 1864
Age: 46 years
Occupation: Farmer
Birthplace: Knott Co.
Name of Father: George MARTIN
Birthplace Father: Va.
Maiden name of Mother: Sarah GREGORY
Birthplace Mother: Kentucky
Informant/Address: Newton MARTIN, Noble, Ky.
Filed: 09 December 1911
Registrar: J. M. Allen
Death Date: 29 November 1911
I hereby certify that I attended deceased from (blank), to
(blank), that I last saw h-- alive on (blank), and that death
occurred, on the date stated above, at (blank)
Cause of Death: Killed by being shot by another person
Duration: (blank)
Contributory: (blank)
Signed/Address: Newton Martin
Place of Burial or Removal: Hindman, Ky.
Date of Burial: 01 December 1911
Undertaker/Address: Linville Miller, Noble, Ky.
Transcribed by Debbie Tamborski, 24 February 2010 |
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