Date: 06 June 1955
Cert: #12149
Place of Death: County: Knott City or Town:
Punchin - Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: none
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Punchin - Rural Street Address: (blank)
Full Name: Alex HALL
Date of Death: 06 June 1955
Sex, Color or Race, Marital Status: Male, White, Widowed
Date of Birth: 01 January 1865
Age: 90 years, 05 months, 05 days
Usual Occupation: Farmer
Kind of Industry or business: none
Birthplace: Ky.
Father's Name: Tony HALL
Mother's Maiden Name: Dica CHILDERS
Was deceased ever in armed forces: no
Social Security No.: no
Informant: Walter HALL - Son
Disease or condition directly leading to death: Senility
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
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 24 May 1934 to
03 June 1955, that I last saw the deceased alive on 03 June
1955, and
that death occurred at 2:00 a.m., from the causes and on the
date stated above.
Date signed: (blank)
Address: Lackey, Ky.
Signature: Charles L. Roach, M.D.
Burial, Cremation or Removal: Burial
Date: 07 June 1955
Name of Cemetery or Crematory: Beaver Dam
Location: Beaver Dam, Ky.
Date received by local registrar: 15 June 1955
Registrar's Signature: Myrtle Slone
Funeral director & address: Archie Craft,
Whitesburg, Ky.
Transcribed by Debbie Tamborski, 14 May 2011 |