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DEATH
CERTIFICATE
MARTHA OLIVER
Date 11 July 1918
Cert: 17505
Place of Death: Voting Precinct: Newcomb, Elliott Co.,
Ky.
Full Name: Martha OLIVER
Sex, Color or Race, Marital Status: Female, White,
Married
Date of Birth: 15 March 1882
Age: 36 years, 03 months, 21 days
Occupation: Housewife
Birthplace: Knott Co.
Name of Father: David CONLEY
Birthplace Father: Knott Co.
Maiden name of Mother: Nancy C. VANDERPOOL
Birthplace Mother: Magoffin Co.
Informant/Address: David CONLEY, Falcon, Ky.
Filed: 13 July 1918
Registrar: G. W. Bailey
Death Date: 11 July 1918
I hereby certify that I attended deceased from 10 July 1918, to
10 July 1918, that I last saw her alive on 10 July 1918, and
that death occurred, on the date stated above, at 11 a.m.
Cause of Death: Died sudden - when I saw patient she was
suffering from Choblithious
Duration: (blank)
Contributory: (blank)
Signed/Address: Proctor Sparks, M.D., 19
July 1918, Martha, Ky.
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: Oliver P. B. G.
Date of Burial: 13 July 1918
Undertaker/Address: David Conley, Falcon, Ky.
Transcribed by Debbie Tamborski, 28 February 2010 |
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