Date: 15 June 1955
Cert: #18754
Place of Death: County: Knott City or Town:
Topmost - Rural
Length of stay (in this place): (blank)
Street address or location: Home
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Topmost - Rural Street Address: (blank)
Full Name: John B. HALL
Date of Death: 15 June 1955
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 09 February 1889
Age: 66 years
Usual Occupation: Farmer
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: John HALL
Mother's Maiden Name: Clarencie VANCE
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant: Raymond HALL
Disease or condition directly leading to death: Cancer of
stomach
Interval between onset and death: 01 year
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 (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 22 September 1955
Address: Wayland, Ky.
Signature: M. V. Wicker, M.D.
Burial, Cremation or Removal: Burial
Date: 17 June 1955
Name of Cemetery or Crematory: Joe Hall
Location: Dry Creek, Ky.
Date received by local registrar: 23 September 1955
Registrar's Signature: Myrtle Slone
Funeral director & address: John Everage, Hindman,
Ky.
Transcribed by Debbie Tamborski, 19 June 2011 |