Date: 05 January 1949
Cert: 05620
Place of Death: County: Knott
City or Town: Dry Creek, Ky. Rural
Length of stay (in this place): (blank)
Street address or location: Died at home
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Dry Creek - Rural Street Address:
(blank)
Full Name: Joe HALL, Jr.
Date of Death: 05 January 1949
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth: 04 January 1949
Age: 10 houses
Usual Occupation: None
Kind of Industry or business: None
Birthplace: Dry Creek, Ky.
Father's Name: Joe HALL
Mother's Maiden Name: Sena Mae MULLINS
Was deceased ever in armed forces: No
Social Security No.: None
Informant: Joe HALL
Disease or condition directly leading to death:
Influenza
Interval between onset and death: 03 weeks
Due to (b): Mother having influenza
Interval between onset and death: (blank)
Due to (c): Mother had influenza for 03 weeks
Interval between onset and death: (blank)
Other significant conditions: none but premature birth
Date of Operation: None
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 04 January 1949
to 05 January 1949, that I last saw the deceased alive on 04
January 1949, and that death occurred at 10 p.m., from the
causes and on the date stated above.
Date signed: 15 March 1949
Address: Garrett
Signature: Mark Dempsey, M.D.
Burial, Cremation or Removal: Burial
Date: 06 January 1949
Name of Cemetery or Crematory: On Dry Creek, Ky.
Location: Knott Co., Ky.
Date received by local registrar: 26 March 1949
Registrar's Signature: Rose B. Craft
Funeral director & address: Friends, Dry Creek, Ky.
Transcribed by Debbie Tamborski, 05 January 2011 |