Date: 26 March 1956
Cert: #56-5639
Place of Death: County: Knott City or Town:
Litt Carr - Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Litt Carr Street
Address: Rural
Full Name: Allie HALL
Date of Death: 26 March 1956
Sex, Color or Race, Marital Status: Female, White,
Married
Date of Birth: 22 October 1890
Age: 65 years
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: Jasper AMBURGEY
Mother's Maiden Name: Nancy Ann STACY
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Rube HALL
Disease/condition directly leading to death: Aortic
insufficiency
Interval between onset and death: 12 years
Due to: Lues (treated by Dr. Swann, Huntington, W. Va.)
Interval between onset and death: Unk.
Other significant conditions: Cerebral vascular accident, with
left hemiplegia
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 11 January 1951
to 25 March 1956, that I last saw the deceased alive on 25
March 1956, and that death occurred at 1:25 p.m., from the
causes and on the date stated above.
Date signed: 30 March 1956
Address: Hindman, Kentucky
Signature: D. G. Barker, M.D.
Burial, Cremation or Removal: Burial
Date: 28 March 1956
Name of Cemetery or Crematory: Amburgey
Location: Brinkley, Ky.
Date received by local registrar: 30 March 1956
Registrar's Signature: Myrtle Slone
Funeral director & address: John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 25 March 2012 |