|
DEATH
CERTIFICATE
OSCAR S. HALE
Date: 08 December 1950
Cert: 27236
Place of Death: County: Perry City or Town:
Jeff
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Jeff Street Address: (blank)
Full Name: Oscar S. HALE
Date of Death: 08 December 1950
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 22 August 1901
Age: 49 years, 03 months, 16 days
Usual Occupation: Saleman
Kind of Industry or business: Hardware
Birthplace: Knott Co., Ky.
Father's Name: William HALE
Mother's Maiden Name: Bell MULLINS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Ophelia HALE
Disease or condition directly leading to death: Gun Shot
Interval between onset and death: (blank)
Due to: Self inflicted
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: no
Accident, suicide, or homicide: Suicide
Place of injury: Home
City or Town, County, State: Jeff, Perry, Ky.
Time of Injury: 08 December 1950
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 14 December 1950
Address: Hazard, Ky.
Signature: Riley Townsend, Acting Coroner
Burial, Cremation or Removal: Burial
Date: 10 December 1950
Name of Cemetery or Crematory: Englewood Cemetery
Location: Perry Co., Ky.
Date received by local registrar: 30 December 1950
Registrar's Signature: Georgia Pendleton
Funeral director & address: Engle Funeral Home,
Hazard, Ky.
Transcribed by Debbie Tamborski, 15 July 2010 |
|