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DEATH
CERTIFICATE
IRA HALL
Date: 09 June 1947
Cert: 16600
Place of Death: County: Perry County City or Town: Lothair,
Ky.
Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Perry County
City or Town: Lothair
Full Name: Ira HALL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, ? [sic]
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 05 September 1905
Age: 41 years, 09 months, 02 days
Birthplace: Knott County
Occupation: Miner (unemployed)
Industry or business: (blank)
Father Name: Jay HALL
Father Birthplace: Knott County
Mother Maiden Name: Dora NEASE
Mother Birthplace: Letcher County
Informant: Jay HALL, Lothair, Ky.
Burial Place: Englewood
Date: 11 June 1947
Signature of funeral director: Maggard & Blair By (illegible),
Hazard, Ky.
Date received by local registrar: 17 June 1947
Registrar's Signature: Pearl G. Combs
Date of Death: 09 June 1947
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: Internal Bleeding
Duration: (blank)
Due to: Gun Shot
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: Earl Maggard (illegible),
Hazard, Ky.
Date signed: 10 June 1947
Transcribed by Debbie Tamborski, 23 June 2010 |
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