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DEATH
CERTIFICATE
HIRAM HALL
Date 15 June 1943
Cert: 13112
Place of Death: County: Floyd County City or Town:
Melvin
Street No. or Location: Same
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Melvin Street No.:
Rural
Full Name: Hiram HALL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Doll HALL
Age of husband or wife if alive: 65 years
Birth date of deceased: 05 August 1872
Age: 70 years, 10 months, 10 days
Birthplace: Knott Co., Ky.
Occupation: Farmer
Industry or business: Farming
Father Name: William HALL
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Ritter BOLEN
Mother Birthplace: Va.
Informant: Lawrence HALL, Melvin, Ky.
Burial Place: Melvin, Ky.
Date: 18 June 1943
Signature of funeral director: (illegible) G. Call, Pikeville,
Ky.
Date received by local registrar: 23 June 1943
Registrar's Signature: Winifred Norris
Date of Death: 15 June 1943
I hereby certify that I attended deceased from 01 September
1942 to
15 June 1943, that I last saw him alive on 15 June 1943, and
that death occurred on the date stated above at 2:15 p.m.
Immediate cause of death: Hypertension - chronic Brights
- cerebral hemorrhage
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: J. W. Bailey, M.D., Wheelwright,
Ky.
Date signed: 17 June 1943
Transcribed by Debbie Tamborski, 31 May 2010 |
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