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