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DEATH
CERTIFICATE
ALICE HALL
Date: 08 December 1949
Cert: 24853
Place of Death: County: Floyd City or Town:
Buckingham
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Buckingham Street
Address: none
Full Name: Alice HALL
Date of Death: 08 December 1949
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth: 08 March 1904
Age: 45 years, 08 months, 00 days
Usual Occupation: House wife
Kind of Industry or business: none
Birthplace: Knott County, Ky.
Father's Name: Willie HALL
Mother's Maiden Name: Suzie BATES
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant: Mrs. Bernis HALL
Disease or condition directly leading to death:
Pneumonia
Interval between onset and death:
Due to:
Other significant conditions: T. B. Lungs
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
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 01 January 1949 to
08 December 1949, that I last saw the deceased alive on 07
December 1949, and
that death occurred at 6:05 p.m., from the causes and on the
date stated above.
Date signed: 09 December 1949
Address: Bypro, Ky.
Signature: W. D. Osborne, M.D.
Burial, Cremation or Removal: Burial
Date: 10 December 1949
Name of Cemetery or Crematory: Buckingham
Location: Buckingham, Ky.
Date received by local registrar: 15 December 1949
Registrar's Signature: Lucy Ransdell
Funeral director & address: Omar Paul Greene, Bypro,
Ky.
Transcribed by Debbie Tamborski, 12 July 2010 |
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