Date: 03 May 1951
Cert: 25345
Place of Death: County: Knott
City or Town: Dry Creek
Length of stay (in this place): Life
Street address or location: Home
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Dry Creek, Ky. Street Address:
(blank)
Full Name: Eliza HALL
Date of Death: 03 May 1951
Sex, Color or Race, Marital Status: Female, White, (illegible)
Date of Birth: 06 March 1879
Age: 72 years, 01 months, 27 days
Usual Occupation: (blank)
Kind of Industry or business: Housewife
Birthplace: Knott County
Father's Name: Jack JOHNSON
Mother's Maiden Name: Rebecca ISAAC
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Dave HALL
Disease or condition directly leading to death: Cardiac
failure
Interval between onset and death: (blank)
Due to: Cardiac Decompensation
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 1942 to
1951, 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: 03 December 1951
Address: Garrett, Ky.
Signature: C. B. Ison, M.D.
Burial, Cremation or Removal: Burial
Date: 05 May 1951
Name of Cemetery or Crematory: Family Cem.
Location: Dry Creek, Ky.
Date received by local registrar: 03 December 1951
Registrar's Signature: Rose B. Craft
Funeral director & address: Cook & Hopkins by David
Cook, Estill, Ky.
Transcribed by Debbie Tamborski, 19 January 2011 |