DEATH CERTIFICATE

CLEVELAND HALL

Date:  18 August 1953
Cert:  26620
Place of Death: County: Knott   City or Town: Hall, Ky. - Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Hall, Ky.
Full Name:  Cleveland HALL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Male, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive:  (blank)
Birth date of deceased:  13 April 1938
Age: 15 years, 04 months, 05 days
Birthplace:  Halo, Ky.
Occupation:  Student
Industry or business: (blank)
Father Name:  Bill Hall
Father Birthplace:  Hall, Ky.
Mother Maiden Name:  Sarah Jane HOLBROOK
Mother Birthplace:  Puncheon, Ky.
Informant:  Bill Hall, Hall, Ky. 
Burial Place:  Hall, Ky.
Date:  20 August 1953
Signature of funeral director: (illegible) Banks, Craft Funeral Home, May, Ky.
Date received by local registrar:  23 June 1955
Registrar's Signature:  Myrtle Slone
Date of Death:  18 August 1953
I hereby certify that I attended deceased from 18 August 1953 to 18 August 1953, that I last saw him alive on 1:20 a.m., and that death occurred on the date stated above at (blank)
Immediate cause of death:  History leads one to believe the pt. had a coronary attack
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: (illegible) Skaggs, M.D., Fleming, Ky.
Date signed:  13 August (illegible)
Transcribed by Debbie Tamborski, 24 February 2011