Date: 09 October 1952
Cert: 21732
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): All of life
Street address or location: Pippapass, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural Street
Address: Pippapass, Ky.
Full Name: Ivan HALL
Date of Death: 09 October 1952
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth: 15 April 1931
Age: 21 years
Usual Occupation: laborer
Kind of Industry or business: Common labor
Birthplace: Knott Co., Ky.
Father's Name: Jeff HALL
Mother's Maiden Name: Lena TRIPLETT
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant: Jeff HALL
Disease or condition directly leading to death: Heart
Attack
Interval between onset and death: Sudden
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: 09 October 1952
Address: Hindman, Ky.
Signature: Jno. N. Taul (Coroner)
Burial, Cremation or Removal: Burial
Date: 11 October 1952
Name of Cemetery or Crematory: Family Cemetery
Location: Pippapass, Ky.
Date received by local registrar: 14 October 1952
Registrar's Signature: Rose B. Craft
Funeral director & address: John N. Taul, Hindman,
Ky.
Transcribed by Debbie Tamborski, 26 January 2011 |