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DEATH
CERTIFICATE
MARTHA MULLINS
Date: 11 August 1951
Cert: 21253
Place of Death: County: Perry City or Town:
Hardburley
Length of stay (in this place): 09 months
Name of Hospital or Institution: Home
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Hardburley Street Address: (blank)
Full Name: Martha MULLINS
Date of Death: 11 August 1951
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth: 21 June 1867
Age: 84 years
Usual Occupation: H. W.
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: Pleasant STURDIVANT
Mother's Maiden Name: Mernina HOGG
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Dan STURDIVANT
Disease or condition directly leading to death: Cerebral
Hemorrhage and Senility
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: No autopsy
Autopsy: no
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 25 July 1951 to
10 August 1951, that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 22 October 1951
Address: Hazard
Signature: F. B. (illegible), M.D.
Burial, Cremation or Removal: Burial
Date: 13 August 1951
Name of Cemetery or Crematory: Amburgey Cem.
Location: Hindman, Knott Co., Ky.
Date received by local registrar: 23 October 1951
Registrar's Signature: Georgia P. Surer
Funeral director/address: Hindman Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 23 July 2010 |
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