Date:    25 September 1944
Cert:    13045 
Place of Death: County: Knott   City or Town:  Topmost
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:  Topmost 
Full Name:  Mrs. EVALINE HALL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Female, White, (blank)
Husband or Wife of:  Robert HALL
Age of husband or wife if alive: (blank)
Birth date of deceased:  (blank) 
Age:  (blank)
Birthplace:  (blank) 
Occupation: (blank) 
Industry or business: (blank)
Father Name:   (blank)
Father Birthplace:  (blank) 
Mother Maiden Name:  (blank) 
Mother Birthplace:  (blank) 
Informant:  (blank) 
Burial Place:  (blank) 
Date:  (blank) 
Signature of funeral director:  (blank)
Date received by local registrar: (blank) 
Registrar's Signature:  (blank)
Date of Death:  25 September 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