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DEATH
CERTIFICATE
WILLIAM ALGER MARTIN
Date 14 July 1942
Cert: 15605
Place of Death: County: Floyd City or Town:
Martin
Name of Hospital or Institution: Martin Gen. Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Dema
Full Name: William Alger MARTIN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 23 March 1941
Age: 01 years, 03 months, 21 days
Birthplace: Dema
Occupation: Infant
Industry or business: (blank)
Father Name: Murph MARTIN
Father Birthplace: Hueysville
Mother Maiden Name: Herma HALL
Mother Birthplace: Dema, Ky.
Informant: Murph MARTIN, Dema
Burial Place: Dema
Date: 16 July 1942
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 28 July 1942
Registrar's Signature: Winifred Norris
Date of Death: 14 July 1942
I hereby certify that I attended deceased from (blank) to
(blank) , that I
last saw him alive on (blank) , and that death occurred on the date
stated above at (blank)
Immediate cause of death: Toxemia
Due to: Dysentery
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: C. L. Allen, M.D., Martin, Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 04 February 2010 |
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