Date: 07 November 1944
Cert: 27645
Place of Death: County: Knott City or
Town: Cody Rural
Street Number or Location: Home, Knott Co., Ky.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Rural
Full Name: Martha MILLER
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Levi MILLER
Age of husband or wife if alive: (blank)
Birth date of deceased: 04 November 1892
Age: 52 years, 00 months, 03 days
Birthplace: Breathitt Co., Ky.
Occupation: House Wife
Industry or business: (blank)
Father Name: John FUGATE
Father Birthplace: Breathitt Co., Ky.
Mother Maiden Name: Leander NOBLE
Mother Birthplace: Breathitt Co., Ky.
Informant: Lee BEGLEY, Hazard, Ky.
Burial Place: Chavies
Date: 09 November 1944
Signature of funeral director: Maggard's, Hazard, Ky.
Date received by local registrar: 29 December 1944
Registrar's Signature: Ida Livingston Rose
B. Craft Acting Registrar
Date of Death: 07 November 1944
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: Heart attack
Duration: (blank)
Due to: (blank)
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: J. W. Duke, M.D., Hindman, Ky.
Date signed: 23 December 1944
Transcribed by Debbie Tamborski, 15 November 2010 |