DEATH CERTIFICATE

ELIZA HALL

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