DEATH CERTIFICATE

ALEX HALL

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