DEATH
CERTIFICATE
MARTHA SHEPHERD
Date 12 July 1924
Cert: # 18797
Name: Martha SHEPHERD
Place of Death: Voting Pct. #1, Tiney, Knott Co., KY
Female, White, Widowed
Birth Date: 10 June 1879
Age: 45 years, 01 months, 02 days
Occupation: Housewife
Place of Birth: Kentucky
Name of Father: John R. SHEPHERD
Birthplace Father: Kentucky
Maiden Name of Mother: Nancy SMITH
Birthplace Mother: Kentucky
Informant: (blank)
Death Date: 12 July 1924
Cause of Death: Pulmonary tuberculosis of the lungs
Signed: M. F. Kelley, M.D.
Burial Place: Tiney, Ky.
Date of Burial: 13 July 1924
Undertaker: Dave Shepherd, Vest, Ky.
File Date: 09 August 1924
Transcribed by Debbie Tamborski, 15 February 2009 |
|