Date:  11 August 1955
Cert:  #16628
Place of Death: County: Knott      City or Town: Lackey - Rural
Length of stay (in this place): 17 hours
Name of Hospital or Institution: Stumbo Memorial Hospital
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Topmost - Rural    Street Address: (blank)
Full Name:  Anna HALL
Date of Death:  11 August 1955
Sex, Color or Race, Marital Status:  Female, White, Married
Date of Birth:  18 March 1898
Age: 57 years
Usual Occupation:  Housewife
Kind of Industry or business: Housewife
Birthplace:  Letcher Co., Ky.
Father's Name:  J. H. POLLY
Mother's Maiden Name:  Lettie CRAFT
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  David HALL
Disease/condition directly leading to death:  Coronary Occlusion
Interval between onset and death:  02 days
Due to:  Hypertensive Cardiovascular Disease
Interval between onset and death:  Several years
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 10 August 1955 to 11 August 1955, that I last saw the deceased alive on 11 August 1955, and that death occurred at 9:30 a.m., from the causes and on the date stated above.
Date signed:  11 August 1955
Address:  Lackey, Ky.
Signature:  Charles L. Roach, M.D.
Burial, Cremation or Removal:  Burial
Date:  15 August 1955
Name of Cemetery or Crematory: Hall Cemetery
Location:  Knott Co., Ky.
Date received by local registrar:  18 August 1955
Registrar's Signature: Myrtle Slone
Funeral director & address:  John N. Taul, Mt. Sterling, Ky., Eastin-Richey Funeral Home
Transcribed by Debbie Tamborski, 19 June 2011