DEATH CERTIFICATE

JASPER HALE

Date:  23 January 1953
Cert:  03529 
Place of Death: County: Knott      City or Town:  Cody
Length of stay (in this place): (blank)
Street address or location:  (blank)
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Cody     If rural give location: (blank)
Full Name:  Jasper HALE
Date of Death:  23 January 1953
Sex, Color or Race, Marital Status: Male, White, Widowed
Date of Birth:  09 November 1867
Age:  85 years
Usual Occupation: (blank)
Kind of Industry or business: Farmer
Birthplace:  Knott Co., Ky.
Father's Name:  John HALE
Mother's Maiden Name:  BREEDING
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Cleo HALE
Disease or condition directly leading to death: Cerebral Apoplexy
Interval between onset and death:  03 days
Due to (b):  Hypertension
Due to (c):  Senility
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 20 January 1953 to 23 January 1953, that I last saw the deceased alive on 22 January 1953, and that death occurred at 10:00 a.m., from the causes and on the date stated above.
Date signed:  20 February 1953
Address:  Allock
Signature:  A. B. Pigman, M.D.
Burial, Cremation or Removal:  Burial
Date:  25 January 1953
Name of Cemetery or Crematory: Carr Creek School Cemetery
Location:  Carr Creek, Ky.
Date received by local registrar: 26 February 1953
Registrar's Signature:  Rose B. Craft
Funeral director & address:  John Everage
Transcribed by Debbie Tamborski, 07 February 2011