Date: 19 January 1946
Cert: 09432
Place of Death: County: Knott City or
Town: Lackey, Ky. Rural
Name of Hospital or Institution: Stumbo Memo. Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Hippo Rural
Full Name: Izola HALL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Andrew J. HALL
Age of husband or wife if alive: 34 years
Birth date of deceased: 16 April 1929
Age: 16 years, 09 months, 03 days
Birthplace: Pyramid, Ky.
Occupation: (blank)
Industry or business: Domestic
Father Name: Willey HOWARD
Father Birthplace: Don't Know
Mother Maiden Name: Bessie NOLAN
Mother Birthplace: Pyramid, Ky.
Informant: Andrew J. HALL, Hippo, Ky.
Burial Place: Hippo
Date: 21 January 1946
Signature of funeral director: G. D. Ryan, Martin
Date received by local registrar: 29 April 1946
Registrar's Signature: Mrs. Rose B. Craft
Date of Death: 19 January 1946
I hereby certify that I attended deceased from 19 January 1946 to
19 January 1946, that I last saw him alive on 19 January 1946,
and that death occurred on the date stated above at 8:45 p.m.
Immediate cause of death: Myocarditis
Duration: (blank)
Due to: Pregnancy 03 months
Other conditions: Pregnancy
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: A. P. Hodge, M.D., Lackey, Ky.
Date signed: 27 April 1946
Transcribed by Debbie Tamborski, 07 December 2010 |