Date: 18 December 1949
Cert: 25932
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): all of life
Street address or location: Raven, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
precinct: Raven, Ky.
Full Name: Monroe HALL
Date of Death: 18 December 1949
Sex, Color or Race, Marital Status: Male, White, Widowed
Date of Birth: 14 February 1882
Age: 67 years
Usual Occupation: Miner
Kind of Industry or business: Mining
Birthplace: Knott Co., Ky.
Father's Name: Sherman HALL
Mother's Maiden Name: Peggy HALL
Was deceased ever in armed forces: (blank)
Social Security No.: 403-03-3370
Informant: Dennis HALL
Disease or condition directly leading to death: No
Doctor saw this person. This man was hurt 12 years ago
in mine. Since that time he lost his mind & has been in
very poor health.
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: While at work
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at 7 p.m., from the causes and on the
date stated above. 18 December 1949
Date signed: 20 December 1949
Address: Hindman, Ky.
Signature: J. M. Taul, Deputy Coroner
Burial, Cremation or Removal: Burial
Date: 20 December 1949
Name of Cemetery or Crematory: Hall Cemetery
Location: Raven, Ky.
Date received by local registrar: 21 December 1949
Registrar's Signature: Rose B. Craft
Funeral director/address: Hindman Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 05 January 2011 |