Date  10 August 1954
Cert:  # 18285
Place of Death: County:     Knott
City or Town: Pippa Passes
Length of stay in hospital or community: (blank)
Name of Hospital or Institution: 
Usual Residence of Deceased: State:  Kentucky
County: Knott
City or Town:  Pippa Passes
Full Name: Cuba J. Hall
Date of Death:  10 August 1954
Sex, Color or Race, Marital Status: female, white, divorced
Date of Birth:  Not Given
Age: 55
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace:  Knott Co Ky
Father's Name:  Miles Jacobs
Mother's Maiden Name: Frankie Slone
Was deceased in ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Carlos Jacobs
Disease or condition directly leading to death:  Dropsy
Interval between onset and death:  2 years
Due to:  Leakage of Heart   10 years
Other significant conditions: Anemia
Date of Operation: (blank)
Major findings for operation: (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 Jul 1954 to 10 Aug 1954, that I last saw the deceased alive on 04 July 1954, and that death occurred on 6:30 amthe date stated above at  from the causes and on the date stated above.
Note : dates as listed in the above
Date signed: 13 August 1954
Address: Garrett, Ky
Signature:  Mark Dempsey
Burial, Cremation or Removal:  Burial
Date:  11 August 1954
Name of Cemetery or Crematory: Family
Location: Pippa Passes, Ky
Date received by local registrar: 12 September 1954
Registrar's Signature: Myrtle Slone
Funeral director and address: John Everage ~ Hindman, Ky
Transcribed by Gloria Marcum ~17 March 2010