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DEATH
CERTIFICATE
LARRY DALE HALL
Date 19 June 1952
Cert: 11806
Place of Death: County: Fayette City or Town:
Lexington
Length of stay in hospital or community: 03 1/2 mos.
Name of Hospital or Institution: St. Joseph's Hospital
Usual Residence of Deceased: State: Kentucky County: Knott
City or Town: Dema
Full Name: Larry Dale HALL
Date of Death: 19 June 1952
Sex, Color or Race, Marital Status: Male, White, Never married
Date of Birth: 04 January 1952
Age: 05 months, 15 days
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Paintsville, Ky.
Father's Name: Miles HALL
Mother's Maiden Name: Aita LAYNE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: (blank)
Disease or condition directly leading to death:
Hydrocephalus, obstructive congenital
Interval between onset and death: Birth
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: Hydrocephalus
Autopsy: Yes
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 on
the date stated above at 11:35 a.m., from the causes and on the date
stated above.
Date signed: 19 June 1952
Address: 200 W. 2nd, Lexington
Signature: Harvey Chen(illegible), M.D.
Burial, Cremation or Removal: Removed
Date: 19 June 1952
Name of Cemetery or Creamatory: (blank)
Location: Hindman, Ky.
Date received by local registrar: 21 June 1952
Registrar's Signature: D. A. Furlong
Funeral director and address: W. R. Milward, Lexington,
Ky.
Transcribed by Debbie Tamborski, 20 February 2010 |
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