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DEATH
CERTIFICATE
DORIS RAY HALL
Date 17 June 1948
Cert: 12625
Place of Death: County: Johnson City or
Town: Paintsville
Name of Hospital or Institution: Paintsville
Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural Street No.:
Lower Beaver V. P.
Full Name: Doris Ray 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: 30 March 1948
Age: 02 months, 17 days
Birthplace: Knott Co., Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Tilton HALL
Father Birthplace: Ky.
Mother Maiden Name: Beulah SALYERS
Mother Birthplace: Ky.
Informant: Tilton HALL, Dry Creek, Ky.
Burial Place: Dry Creek Cem.
Date: 18 June 1948
Signature funeral director: Jones Funeral Home, Paintsville,
Ky.
Date received by local registrar: 17 June 1948
Registrar's Signature: Madge Salyer
Date of Death: 17 June 1948
I hereby certify that I attended deceased from 13 June 1948 to
16 June 1948, that I
last saw him alive on 10:45 p.m., and that death occurred on the date
stated above at 12:25 a.m
Immediate cause of death: Severe dehydration and anemia
probably (illegible) stenosis
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: Robert A. Hall, M.D., Paintsville, Ky.
Date signed: 17 June 1948
Transcribed by Debbie Tamborski, 14 February 2010
Transcriber's note:
His
tombstone reads Donis Ray Hall |
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