DEATH CERTIFICATE

 MARTHA FOUTS HALL

Date:    29 June 1944
Cert:    13047
Place of Death: County: Knott   City or Town:  Hall
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County:  Knott
City or Town:  Hall
Full Name:  Martha FOUTS HALL 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Female, White, (blank)
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:   06 January 1865
Age:   79 years, 05 months, 23 days
Birthplace:  Pike County, Ky. 
Occupation:   (blank) 
Industry or business: (blank)
Father Name:   (blank)
Father Birthplace:   Va.
Mother Maiden Name:   (blank)
Mother Birthplace:  Pike County, Ky. 
Informant:  Bruce MARTIN, Hall, Ky. 
Burial Place:  (blank) 
Date:   June 1944 
Signature of funeral director:  (blank)
Date received by local registrar: (blank) 
Registrar's Signature: (blank)
Date of Death:  29 June 1944 
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death:  (blank)
Duration: (blank)
Due to:  (blank)
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:  (blank)
Date signed:  (blank) 
Transcribed by Debbie Tamborski, 13 November 2010