DEATH CERTIFICATE

MARTHA E. TERRY

Date  19 August 1919
Cert: #  23806
Name: Martha E. TERRY
Female, White, Married
Age: 46 years, 02 months, 09 days
Place of Death: Voting Precinct #4, Knott Co., KY
Birth Date:  10 June 1873
Occupation:  Housewife
Place of Birth:  Kentucky
Name of Father:  John HAGGANS
Birthplace Father:  Kentucky
Maiden Name of Mother:  Sussan BOLLEN
Birthplace Mother:  Kentucky
Informant:  Silas BROWN
Death Date:  19 August 1919
Cause of Death:  Intersusseption [sic] of bowels
Signed:  M. F. Kelley, M.D.
Burial Place:  Terry Cemetery
Date of Burial:  20 August 1919
Undertaker:  John Terry, Yellow Mt., Ky.
File Date:  20 August 1919
Transcribed by Debbie Tamborski, 23 November 2008