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DEATH
CERTIFICATE
CLAREY HALL
Date: 27 August 1946
Cert: 17151
Place of Death: County: Floyd City or Town:
Prestonsburg
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Prestonsburg
Full Name: Clarey HALL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widowed
Husband or Wife of: Manderville
Age of husband or wife if alive: (blank)
Birth date of deceased: 22 February
Age: 78 years
Birthplace: Knott County, Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Dave CONLEY
Father Birthplace: Ohio
Mother Maiden Name: Polly OWENS
Mother Birthplace: Knott County, Ky.
Informant: Alex HALL, Prestonsburg
Burial Place: Prestonsburg
Date: 28 August 1946
Signature of funeral director: E. P. Arnold, Prestonsburg
Date received by local registrar: 05 September 1946
Registrar's Signature: Lucy Ramsdell
Date of Death: 27 August 1946
I hereby certify that I attended deceased from 01 June 1946 to
27 August 1946, that I last saw him alive on 23 August 1946,
and that death occurred on the date stated above at 8 a.m.
Immediate cause of death: Poxaplegia
Duration: 02 years
Due to: Hemiplegia
Other Conditions: Myocarditis
Major findings of operations: none Of
Autopsy: None
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: O. T. Stephens, M.D., Prestonsburg, Ky.
Date signed: 31 August 1946
Transcribed by Debbie Tamborski, 09 June 2010 |
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