|
DEATH
CERTIFICATE
JOE H. HALL
Date: 20 July 1948
Cert: 14807
Place of Death: County: Johnson
City or Town: Paintsville
Street No. or Location: 215 Washington Ave.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Johnson
City or Town: Paintsville
Street No.: 215 Washington Ave.
Full Name: Joe H. HALL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Essa BURCHNELL
Age of husband or wife if alive: 39 years
Birth date of deceased: 04 March 1894
Age: 54 years, 04 months, 16 days
Birthplace: Knott Co., Ky.
Occupation: Railway Agent Retired
Industry or business: (blank)
Father Name: Hiram HALL
Father Birthplace: Ky.
Mother Maiden Name: Mera KING
Mother Birthplace: Ky.
Informant: Mrs. Essa HALL, Paintsville, Ky.
Burial Place: West Van Lear, Ky.
Date: 22 July 1948
Signature funeral director: Jones Funeral Home, Paintsville,
Ky.
Date received by local registrar: 29 July 1948
Registrar's Signature: Madge Salyer
Date of Death: 20 July 1948
I hereby certify that I attended deceased from 18 July 1948 to
20 July 1948, that I last saw him alive on 19 July 1948, and
that death occurred on the date stated above at 12:20 a.m.
Immediate cause of death: Cerebral Hemorrhage
Duration: 02 days
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Paul B. Hall, M.D., Paintsville, Ky.
Date signed: 26 July 1948
Transcribed by Debbie Tamborski, 01 July 2010 |
|