Date: 14 March 1949
Cert: 27540
Place of Death: County: Knott
City or Town: Lackey Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: Stumbo Memo. Hosp.
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Garner Rural Street Address:
(blank)
Full Name: Curtis HALL
Date of Death: 14 March 1949
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth: 25 December 1948
Age: 02 months, 17 days
Usual Occupation: None
Kind of Industry or business: None
Birthplace: Kentucky
Father's Name: Clarence HALL
Mother's Maiden Name: Josephine SLONE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Josephine HALL
Disease or condition directly leading to death:
Pneumonia
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (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 (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 04 February 1950
Address: Lackey, Ky.
Signature: C. M. Akers, M.D.
Burial, Cremation or Removal: Burial
Date: 16 March 1949
Name of Cemetery or Crematory: Hall Cem.
Location: Garner, Knott, Ky.
Date received by local registrar: 06 February 1950
Registrar's Signature: Rose B. Craft
Funeral director & address: Friends, Garner, Ky.
Transcribed by Debbie Tamborski, 05 January 2011 |