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DEATH
CERTIFICATE
ALEX HALE
Date 26 December 1941
Cert: 29558
Place of Death: County: Letcher City or Town:
Rural
Name of Hospital or Institution: Highway Route 15 (Isom)
Length of stay in hospital or community: 65 years
Usual Residence of Deceased: State: Kentucky County:
Knott
City or Town: Rural
Full Name: Alex HALE
If Veteran Name War: X
Social Security No.: X
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Dosha HALE
Age of husband or wife if alive: 55 years
Birth date of deceased: 27 July 1876
Age: 65 years, 04 months, 29 days
Birthplace: Knott County, Ky.
Occupation: Merchant
Industry or business: General Store
Father Name: Thos HALE
Father Birthplace: Kansas
Mother Maiden Name: Matilda SMITH
Mother Birthplace: Knott County, Ky.
Informant: Bristol HALE, Hindman, Ky.
Burial Place: Honeycutt Cem.
Date: 28 December 1941
Signature of funeral director: Craft Funeral
Home, Whitesburg, Ky.
Date received by local registrar: 01 January 1942
Registrar's Signature: E. M. Collins
Date of Death: 26 December 1941
I hereby certify that I attended deceased from (blank) to
(blank), that I
last saw him alive on (blank), and that death occurred on the date
stated above at 11 a.m.
Immediate cause of death: Skull fracture. Hit with
automobile
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide:
Date of occurrence: 26 December 1941
Where did injury occur: Public Place-#15 Highway
While at work: No
Means of injury: Auto
Signature: R. H. Swisher, Whitesburg, Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 01 February 2010 |
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