Date: 05 March 1952
Cert: 05679
Place of Death: County: Knott
City or Town: Lackey
Length of stay (in this place): 04 days
Name of Hospital or Institution: Stumbo Hospital
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
precinct: Leburn, Ky.
Full Name: Jackie HALL
Date of Death: 05 March 1952
Sex, Color/Race, Marital Status: Female, White, Never Married
Date of Birth: 19 January 1952
Age: 06 weeks - 01 months, 16 days
Usual Occupation: None
Kind of Industry or business: None
Birthplace: Knott Co., Ky.
Father's Name: Shelby HALL
Mother's Maiden Name: Cinda WILLIAMS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Mrs. Shelby HALL
Disease or condition directly leading to death: Asphyxiation
Interval between onset and death: (blank)
Due to: Aspiration of vomitus
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
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 19 January 1952 to
05 March 1952, that I last saw the deceased alive on 05 March
1952, and
that death occurred at 2:00 p.m., from the causes and on the
date stated above.
Date signed: 10 March 1952
Address: Lackey, Ky.
Signature: C. M. Aker, M.D.
Burial, Cremation or Removal: Burial
Date: 06 March 1952
Name of Cemetery or Crematory: Family Cemetery
Location: Leburn, Knott Co., Ky.
Date received by local registrar: 13 March 1952
Registrar's Signature: Rose B. Craft
Funeral director & address: John N. Taul, Hindman,
Ky.
Transcribed by Debbie Tamborski, 26 January 2011 |