Date: 03 October 1942
Cert: 27288
Place of Death: County: Knott City or
Town: (blank)
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Rural
Full Name: Martha REYNOLDS WATSON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widowed
Husband or Wife of: Martha WATSON (transcribed as
written)
Age of husband or wife if alive: D
Birth date of deceased: 06 January 1873
Age: 69 years, 04 months, 01 days
Birthplace: Kentucky
Occupation: Housewife
Industry or business: (blank)
Father Name: John REYNOLDS
Father Birthplace: Va.
Mother Maiden Name: Sussie CRAFT
Mother Birthplace: Va.
Informant: Keneu WATSON, Pippapass, Ky.
Burial Place: Watson Cemetery
Date: 04 October 1942
Signature of funeral director: (blank), Pippapass, Ky.
Date received by local registrar: (blank)
Registrar's Signature: (blank)
Date of Death: 03 October 1942
I hereby certify that I attended deceased from 29 September
1942 to 03 October 1942, that I last saw him alive on 29
September 1942, and that death occurred on the date stated
above at 1 p.m.
Immediate cause of death: Paralysis
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: M. F. Kelley, M.D., Hindman, Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 18 October 2010 |