DEATH CERTIFICATE

KIRBY HALL

Date  28 June 1912
Cert: #  9028 
Name:  Kirby HALL 
Male, White, Single
Age:  05 years, 04 months, 19 days
Place of Death: Voting Precinct #5 Viper, Perry Co., KY
Birth Date:  09 February 1907 
Occupation:  (blank) 
Place of Birth:  Kentucky 
Name of Father:  Columbus HALL 
Birthplace Father:  Kentucky 
Maiden Name of Mother:  Dulceny COMBS 
Birthplace Mother:  Kentucky 
Informant:  C. C. HALL, Jeff, Ky. 
Death Date:  28 June 1912 
Cause of Death:  (blank) 
Signed:  (blank)
Burial Place:  (blank) 
Date of Burial:  (blank) 
Undertaker: (blank) 
File Date:  09 May 1913 
Transcribed by Debbie Tamborski, 02 December 2008