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DEATH
CERTIFICATE
MILLARD HALL
Date 10 December 1915
Cert: 02073
Place of Death: Voting Precinct: #1,
Hall, Letcher Knott Co., KY
Full Name: Millard HALL
Sex, Color or Race, Marital Status: Male, White, Single
Date of Birth: 04 November 1913
Age: 02 years, 01 months, 01 days
Occupation: (blank)
Birthplace: Knott Co., Ky.
Name of Father: Sil HALL
Birthplace Father: Knott Co., Ky.
Maiden name of Mother: Rena HALL
Birthplace Mother: Knott Co., Ky.
Informant/Address: Sil HALL, Hall, Ky.
Filed: 01 January 1916
Registrar: S. Blair
Death Date: 10 December 10 p.m. 1915
I hereby certify that I attended deceased from 05 December
1915, to
(blank), that I last saw h-- alive on 05 December 1915, and that death
occurred, on the date stated above, at 10 p.m.)
Cause of Death: Burn
Duration: 01 day
Contributory: Cloths caught from grate
Signed/Address: T. A. Cook
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: Willie Hall
Date of Burial: 05 December 1915
Undertaker/Address: Willie Hall
Transcribed by Debbie Tamborski, 26 February 2010 |
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