Date: 06 August 1947
Cert: 22633
Place of Death: County: Knott City or
Town: Leburn, Ky.
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Leburn, Ky.
Full Name: Alleen HALL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 28 June 1947
Age: 01 months, 39 days
Birthplace: Knott Co., Ky.
Occupation: None
Industry or business: (blank)
Father Name: Arnold HALL
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Lethe WILLIAMS
Mother Birthplace: Knott Co., Ky.
Informant: Arnold HALL, Holly Bush, Ky.
Burial Place: Holly Bush, Ky.
Date: 07 August 1947
Signature of funeral director: Arnold Hall, Hollybush,
Ky.
Date received by local registrar: 11 October 1947
Registrar's Signature: Rose B. Craft
Date of Death: 06 August 1947
I hereby certify that I attended deceased from 05 August 1947 to
06 August 1947, that I last saw him alive on 06 August 1947,
and that death occurred on the date stated above at 8:00 p.m.
Immediate cause of death: Convulsions caused by
indigestion
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: M. F. Kelley, M.D., Hindman,
Ky.
Date signed: 11 October 1947
Transcribed by Debbie Tamborski, 17 December 2010 |