Date:  21 July 1955
Cert:  #25500
Place of Death: County: Knott     City or Town: Topmost - Rural
Length of stay (in this place): (blank)
Street Address or Location:  On Dry Creek
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Topmost - Rural    Street Address: (blank)
Full Name:  Janice Sue HALL
Date of Death:  21 July 1955
Sex, Color/Race, Marital Status: Female, White, Never Married
Date of Birth:  21 December 1953
Age: 01 years, 07 months
Usual Occupation:  (blank)
Kind of Industry or business: (blank)
Birthplace:  Ky.
Father's Name:  Jessie HALL
Mother's Maiden Name:  Pina Mae LITTLE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Jessie HALL
Disease or condition directly leading to death:  Dysentery
Interval between onset and death:  02 weeks
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 20 July 1955 to 20 July 1955, that I last saw the deceased alive on 20 July 1955, and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  23 July 1955
Address:  Garrett, Ky.
Signature:  Mark Dempsey, M.D.
Burial, Cremation or Removal: Burial
Date:  24 July 1955
Name of Cemetery or Crematory: Family
Location:  Topmost, Ky.
Date received by local registrar: 19 December 1955
Registrar's Signature: Myrtle Slone
Funeral director & address:  Birchell C. Hall, Martin, Ky.
Transcribed by Debbie Tamborski, 10 June 2011