Carter Co., OK - Death Certificate:  Martha Ann Tucker Knox

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Carter Co. Burial

Death occured in Tulsa Co., OK

Source:
Donna Windrix
Copy of Death Certificate for Martha Ann Tucker Knox

Certificate of Death
Oklahoma State Board of Health
Bureau of Vital Statistics
Oklahoma City, Oklahoma
Registration Dist No. 72253, Primary Dist. No. 7204
Register No. 966
1. Place of Death: County - Tulsa, City - Tulsa, Address: 1206 West 23rd Street.
2. Full Name: Martha Knox
3. Sex: F
4. Color or Race: White
5. Single, Married, Widowed or Divorced: Widowed
6. Date of Birth: July 10, 1847
7. Age: 80 yrs, 2 mos., 3 days
8. Occupation: Retired
9. Birth Place: Arkansas
10. Name of Father: William Tucker
11. Birthplace of Father:  Ill. [incorrect, either KY or TN]
12. Maiden Name of Mother: Blank
13. Birth Place of Mother: Blank
14. The above is true to the best of my knowledge
Informant: G. C. Knox
Address: Mc Alester, Okla.
15. Filed: 9-13-1927
James Hartshorn, Registrar
16. Date of Death:  Sept. 13, 1927
17. I, Hereby Certify that I attended deceased from Aug. 5, 1927 to Sep. 13, 1927 
that I saw her alive on Sep. 13, 1927 and that death occurred on the day stated above at [blank]

The Cause of Death, Was as follows: Arterosclerosis
Duration: 6 mos.
Signed: G. W. Zink, M.D.
Sep. 13, 1927
Address: Red [illegible], Okla.
19. Place of Burial or Removal: Ardmore, Okla
Date of Burial Sep. 14, 1927
20. Undertaker: Robert McBirney, Tulsa, Oklahoma