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 |