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DEATH
CERTIFICATE
ARTIE HALL
Date 27 June 1943
Cert: 14026
Place of Death: County: Letcher City or
Town: Fleming
Name of Hospital or Institution: Fleming Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Puncheon
Full Name: Artie 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: 16 August 1925
Age: 17 years, 10 months, 03 days
Birthplace: Melvin, Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Andy HALL
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Janney JOHNSON
Mother Birthplace: Floyd Co., Ky.
Informant: Andy HALL, Puncheon, Ky.
Burial Place: Puncheon, Ky.
Date: 01 July 1943
Signature of funeral director: Johnson Funeral Home, Neon, Ky.
Date received by local registrar: 05 July 1943
Registrar's Signature: E. M. Collins
Date of Death: 27 June 1943
I hereby certify that I attended deceased from 26 June 1943 to
27 June 1943, that I
last saw him alive on 27 June 1943, and that death occurred on the date
stated above at 2 a.m.
Immediate cause of death: Cerebral Hemorrhage
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: E. G. Skaggs, M.D., Fleming, Ky.
Date signed: 01 July 1943
Transcribed by Debbie Tamborski, 05 February 2010 |
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