DEATH CERTIFICATE

JOHN B. HALL

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