Date: 30 July 1947
Cert: 29051
Place of Death: County: Knott City or
Town: Kite, Ky. Rural
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: Kite Rural
Full Name: Merby HALL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Hiram HALL
Age of husband or wife if alive: (blank)
Birth date of deceased: 20 June 1871
Age: 76 years, 01 months, 10 days
Birthplace: Knott Co., Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: James KING
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Sally BATES
Mother Birthplace: Knott Co., Ky.
Informant: Ida Mae DOBSON, Melvin, Ky.
Burial Place: Kite, Ky.
Date: 01 August 1947
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 04 March 1948
Registrar's Signature: Rose B. Craft
Date of Death: 30 July 1947
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 3:20 p.m.
Immediate cause of death: arterio sclerosis
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: W. D. Osborne, M.D., Bypro, Ky.
Date signed: (illegible)
Transcribed by Debbie Tamborski, 18 December 2010 |