Date: 15 May 1950
Cert: 10345
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): (blank)
Street address or location: Pippapass, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
precinct: Pippapass, Ky.
Full Name: Clerinda HALL
Date of Death: 15 May 1950
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth: 14 May 1881
Age: 69 years
Usual Occupation: Housewife
Kind of Industry or business: House keeper
Birthplace: Floyd Co., Ky.
Father's Name: Al CAUDILL
Mother's Maiden Name: Maratha THORNSBERRY
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Wren H. SKAGGS
Disease or condition directly leading to death: cerebral
vascular accident
Interval between onset and death: 48 hours
Due to: Hypertension & arterioscl.
Interval between onset and death: 15 years
Other significant conditions: Diabetes mellitus
Interval between onset and death: 20 years
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 26 February
1948 to 14 May 1950, that I last saw the deceased alive on 14
May 1950, and that death occurred at 11:05 a.m., from the
causes and on the date stated above.
Date signed: 18 May 1950
Address: Hindman, Ky.
Signature: D. G. Barker, M.D.
Burial, Cremation or Removal: Burial
Date: 17 May 1950
Name of Cemetery or Crematory: Al Caudill Cemetery
Location: Holloybush, Ky.
Date received by local registrar: 18 May 1950
Registrar's Signature: Rose B. Craft
Funeral director/address: Hindman Funeral Home By J. N.
Taul
Transcribed by Debbie Tamborski, 14 January 2011 |