Date: 24 July 1949
Cert: 14555
Place of Death: County: Knott
City or Town: Lackey, Ky. Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Topmost Street Address:
(blank)
Full Name: David Jr. HALL
Date of Death: 24 July 1949
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth: 20 April 1931
Age: 18 years
Usual Occupation: Student
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: David HALL
Mother's Maiden Name: Anna POLLY
Was deceased ever in armed forces: Yes, 1946-1947
Social Security No.: (blank)
Informant: Parents
Disease or condition directly leading to death: Chest crushed
by large rock
Interval between onset and death: Few seconds
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: Accident
Place of injury: Highway - Ky. 80
City or Town, County, State: Between
Mousie & Lackey, Knott, Ky.
Time of Injury: 24 July 1949, 5 p.m.
Injury occurred at work: Not while at work
How did injury occur: Lost control of car, large rock loosened
by car fell on the boy crushing his chest
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 5 p.m., from the causes and on the
date stated above.
Date signed: 28 July 1949
Address: Hindman, Ky.
Signature: J. W. Duke, M.D.
Burial, Cremation or Removal: Burial
Date: July 1949
Name of Cemetery or Crematory: Hall Cemetery
Location: Topmost, Knott, Ky.
Date received by local registrar: 28 July 1949
Registrar's Signature: Rose B. Craft
Funeral director & address: Ryan Funeral Home,
Martin, Ky.
Transcribed by Debbie Tamborski, 05 January 2011 |