Date: 08 October 1948
Cert: 27406
Place of Death: County: Knott City or
Town: Lackey, Ky. Rural
Name of Hospital or Institution: Stumbo Mem.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Topmost
Full Name: Kenneth HALL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: (blank)
Age: 02 months
Birthplace: Topmost, Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Gurney HALL
Father Birthplace: Topmost, Ky.
Mother Maiden Name: Juanita
Mother Birthplace: Louisana
Informant: Estill CAUDILL, Topmost, Ky.
Burial Place: Topmost, Ky.
Date: 09 October 1948
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 06 January 1949
Registrar's Signature: Rose B. Craft
Date of Death: 08 October 1948
I hereby certify that I attended deceased from 27 September
1948 to
08 October 1948, that I last saw him alive on 08 October 1948,
and that death occurred on the date stated above at 10:00 a.m.
Immediate cause of death: Circulatory failure
Duration: (blank)
Due to: Dehydration caused by infectious diarrhea
(pseudomonas arrogenes)
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: C. M. Aker, M.D., Lackey, Ky.
Date signed: 31 December 1948
Transcribed by Debbie Tamborski, 27 December 2010 |