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DEATH
CERTIFICATE
MARLENE HALL
Date 03 October 1950
Cert: 26239
Place of Death: County: Perry City or Town: Hazard
Length of stay in hospital or community:
Name of Hospital or Institution: Mount Mary Hospital
Usual Residence of Deceased: State: Kentucky County: Knott
City or Town: Bath
Full Name: Marlene HALL
Date of Death: 03 October 1950
Sex, Color/Race, Marital Status: Female, White, Never married
Date of Birth: 22 August 1950
Age: 01 months, 11 days
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Bathy, Ky.
Father's Name: Watson HALL
Mother's Maiden Name: Rosie EVERAGE
Was deceased in ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Mrs. Rosie HALL
Disease or condition directly leading to death (a):
Metabolic acidosis
Interval between onset and death: 2 - 9 da.
Due to (b): Severe dehydration
Interval between onset and death: 2 - 9 da.
Due to (c): Viral gastro-enteritis
Interval between onset and death: 3 weeks
Other significant conditions: malnutrition
Interval between onset and death: 4 - 5 weeks
Date of Operation: (blank)
Major findings for operation: (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 02 October 1950
to 03 October 1950, that I last saw the deceased alive on 03
October 1950, and that death occurred on the date stated above
at 4:45 a.m., from the causes and on the date stated above.
Date signed: 03 October 1950
Address: Hazard, Ky.
Signature: Richard E. Borman, M.D.
Burial, Cremation or Removal: Removal
Date: 03 October 1950
Name of Cemetery or Creamatory: Family Cemetery
Location: Bath, Ky.
Date received by local registrar: 10 November 1950
Registrar's Signature: Georgia Pendleton
Funeral director and address: (blank)
Transcribed by Debbie Tamborski, 16 February 2010 |
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