Date: 04 September 1949
Cert: 19065
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): all of life
Street address or location: Hindman, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
precinct: Hindman, Ky.
Full Name: Nannie JONES HALE
Date of Death: 04 September 1949
Sex, Color or Race, Marital Status: Female, White,
Married
Date of Birth: 14 February 1870
Age: 79 years
Usual Occupation: Housewife
Kind of Industry or business: Keeping House
Birthplace: Knott Co., Ky.
Father's Name: Unknown
Mother's Maiden Name: Unknown
Was deceased ever in armed forces: (blank)
Social Security No.: None
Informant: Mrs. C. Jason OWENS
Disease/condition directly leading to death:
myocardial insufficiency
Interval between onset and death: 06 months
Due to: malnutrition, cachexia decubitus ulcers
Interval between onset and death: 03 months
Due to: old fracture of left hip & left femur
Interval between onset and death: 07 months
Other significant conditions: Senility
Interval between onset and death: Several years
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 13 March 1949
to 03 September 1949, that I last saw the deceased alive on 03
September 1949, and that death occurred at 11 a.m., from the
causes and on the date stated above.
Date signed: 14 September 1949
Address: Hindman, Ky.
Signature: D. G. Barker, M.D.
Burial, Cremation or Removal: Burial
Date: 06 September 1949
Name of Cemetery or Crematory: Family
Location: Hindman, Ky.
Date received by local registrar: 16 September 1949
Registrar's Signature: Rose B. Craft
Funeral director/address: Hindman Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 05 January 2011 |