Date: 21 June 1949
Cert: 16800
Place of Death: County: Knott
City or Town: Topmost, 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 Rural Street Address:
(blank)
Full Name: Emma HALL
Date of Death: 21 June 1949
Sex, Color/Race, Marital Status: Female, White, Never Married
Date of Birth: 01 January 1946
Age: 03 years, 05 months, 20 days
Usual Occupation: None
Kind of Industry or business: None
Birthplace: Topmost, Ky.
Father's Name: Monroe HALL
Mother's Maiden Name: Lissie HALL
Was deceased ever in armed forces: No
Social Security No.: None
Informant: Monroe HALL
Disease or condition directly leading to death:
Pneumonia (bronchial)
Interval between onset and death: 04 days
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
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 (blank) to
(blank), 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: 23 August 1949
Address: Wayland
Signature: M. V. Wicker, M.D.
Burial, Cremation or Removal: Buried
Date: 22 June 1949
Name of Cemetery or Crematory: Patton Cemetery
Location: Topmost, Ky.
Date received by local registrar: 24 August 1949
Registrar's Signature: Rose B. Craft
Funeral director & address: Friends, Topmost
Transcribed by Debbie Tamborski, 05 January 2011 |