Date: 11 April 1944
Cert: 13046
Place of Death: County: Knott City or
Town: Dry Creek
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: Dry Creek
Full Name: Douglas Mc Arthur HALL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Infant
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 15 March 1944
Age: 26 days
Birthplace: Dry Creek, Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Jesse HALL
Father Birthplace: Dry Creek, Ky.
Mother Maiden Name: Pina Mae LITTLE
Mother Birthplace: Bevinsville, Ky.
Informant: Jesse HALL, Dry Creek, Ky.
Burial Place: Dry Creek, Ky.
Date: 13 April 1944
Signature of funeral director: Casket purchased from W.
J. Ryan, Martin, Ky.
Date received by local registrar: April 1945
Registrar's Signature: Mrs. Rose B. Craft, Acting, Per B.
Carns
Date of Death: 11 April 1944
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: (blank)
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: (blank)
Date signed: (blank)
Transcribed by Debbie Tamborski, 13 November 2010 |