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DEATH
CERTIFICATE
HENRY HALL
Date: 09 January 1946
Cert: 00835
Place of Death: County: Floyd City or Town:
Bevinsville, Ky.
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Bevins
Full Name: Henry HALL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, (blank)
Husband or Wife of: Amie HALL
Age of husband or wife if alive: (blank)
Birth date of deceased: 14 March 1865
Age: 84 years
Birthplace: Knott Co.
Occupation: Farmer
Industry or business: (blank)
Father Name: Mashell HALL
Father Birthplace: Knott Co.
Mother Maiden Name: Don't know BATES
Mother Birthplace: Knott Co.
Informant: Johnie HALL, Mcdowell
Burial Place: Melvin
Date: 10 January 1946
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 22 January 1946
Registrar's Signature: Lucy Ramsdell
Date of Death: 09 January 1946
I hereby certify that I attended deceased from 01 December
1945 to
09 January 1946, that I last saw him alive on 09 January 1946, and that death
occurred on the date stated above at 8:15 p.m.
Immediate cause of death: Influenza
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: W. D. Osborne, M.D., Bypro, Ky.
Date signed: 21 January 1946
Transcribed by Debbie Tamborski, 09 June 2010 |
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