Date: 17 April 1947
Cert: 09214
Place of Death: County: Knott City or
Town: Lackey, Rural
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: 01 day
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: May Rural
Full Name: Mazie HALL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Johnnie HALL
Age of husband or wife if alive: 30 years
Birth date of deceased: 24 February 1924
Age: 23 years, 01 months, 24 days
Birthplace: Knott Co., Ky.
Occupation: Housekeeper
Industry or business: Own home
Father Name: Jasper CAUDILL
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Lula SHORT
Mother Birthplace: Knott Co., Ky.
Informant: Johnnie HALL, May, Ky.
Burial Place: Pippapass, Ky.
Date: 19 April 1947
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 28 April 1947
Registrar's Signature: Rose B. Craft
Date of Death: 17 April 1947
I hereby certify that I attended deceased from 16 April 1947 to
17 April 1947, that I last saw him alive on 17 April 1947, and
that death occurred on the date stated above at 5:30 a.m.
Immediate cause of death: Convulsions & Toxemia
pregnancy
Duration: (blank)
Due to: Heart failure following Toxemia of pregnancy
Major findings of operations: not done
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. R. Aker, M.D., Lackey, Ky.
Date signed: 17 April 1947
Transcribed by Debbie Tamborski, 18 December 2010 |