Date: 13 May 1948
Cert: 17046
Place of Death: County: Knott City or
Town: Dry Creek, Ky.
Street Number or Location: Rural
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Dry Creek, Ky.
Street No.: Rural
Full Name: Anna HALL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Hasadore HALL
Age of husband or wife if alive: 51 years
Birth date of deceased: 19 July 1913
Age: 34 years, 09 months, 24 days
Birthplace: Knott Co., Ky.
Occupation: Housewife
Industry or business: (blank)
Father Name: John B. HALL
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Millie MOSELY
Mother Birthplace: Knott Co., Ky.
Informant: Hasadore HALL, Dry Creek, Ky.
Burial Place: Dry Creek, Ky.
Date: 14 May 1948
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 17 July 1948
Registrar's Signature: Rose B. Craft
Date of Death: 13 May 1948
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 6:30 a.m.
Immediate cause of death: Cerebral Hemorrhage
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: J. W. Duke, M.D., Hindman, Ky.
Date signed: 07 June 1948
Transcribed by Debbie Tamborski, 27 December 2010 |