Date: 31 October 1951
Cert: 25344
Place of Death: County: Knott
City or Town: Rural Topmost, Ky.
Length of stay (in this place): 07 days
Street address or location: on Ferd Slone Branch
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural Topmost If rural give precinct:
on Ferd Slone Branch
Full Name: Jesse Ray HALL
Date of Death: 31 October 1951
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth: 24 October 1951
Age: 07 days
Usual Occupation: None
Kind of Industry or business: None
Birthplace: Topmost, Kentucky
Father's Name: Carl Jonah HALL
Mother's Maiden Name: Roberta HOPPER
Was deceased ever in armed forces: no
Social Security No.: none
Informant: Carl Jonah HALL
Disease or condition directly leading to death:
Premature birth
Interval between onset and death: 01 week
Due to: (blank)
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 24 October 1951 to
31 October 1951, that I last saw the deceased alive on 31
October 1951, and
that death occurred at 10 a.m., from the causes and on the
date stated above.
Date signed: 31 October 1951
Address: Garrett, Ky.
Signature: Mark Dempsey, M.D.
Burial, Cremation or Removal: Burial
Date: 01 November 1951
Name of Cemetery or Crematory: George Cem.
Location: Mousie, Ky.
Date received by local registrar: 11 December 1951
Registrar's Signature: Rose B. Craft
Funeral director & address: Carl Jonah Hall,
Topmost, Ky.
Transcribed by Debbie Tamborski, 19 January 2011 |