Date: 15 March 1949
Cert: 27539
Place of Death: County: Knott
City or Town: Lackey, Ky. Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: Stumbo Memo. Hosp.
Usual Residence of Deceased: State: Kentucky County:
Knott
City or Town: Topmost Rural Street Address:
(blank)
Full Name: Lillian Sue HALL
Date of Death: 15 March 1949
Sex, Color or Race, Marital Status: Female, White, Single
Date of Birth: 10 June 1948
Age: 09 months
Usual Occupation: Housewife
Kind of Industry or business: Home
Birthplace: Topmost, Ky.
Father's Name: Ellis HALL
Mother's Maiden Name: Jan HEURON
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: (blank)
Disease or condition directly leading to death:
Pneumonia
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
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: 04 February 1950
Address: Lackey, Ky.
Signature: C. M. Aker, M.D.
Burial, Cremation or Removal: Burial
Date: 16 March 1949
Name of Cemetery or Crematory: Dry Creek Cem.
Location: Topmost, Ky.
Date received by local registrar: 06 February 1950
Registrar's Signature: Rose B. Craft
Funeral director & address: W. J. Ryan, Martin, Ky.
Transcribed by Debbie Tamborski, 05 January 2011 |