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DEATH
CERTIFICATE
NERVA HALL
Date 18 August 1931
Cert: 24965
Place of Death: Voting Pct: #3 Ivan, Letcher Co., Ky.
Full Name: Nerva HALL
Sex, Color or Race, Marital Status: Female, White, Widow
Date of Birth: 14 August 1851
Age: 80 years
Occupation: (blank)
Birthplace: Knott Co., Ky.
Name of Father: (blank)
Birthplace Father: (blank)
Maiden name of Mother: (illegible-possible says
Amburgey??)
Birthplace Mother: Knott Co., Ky.
Informant/Address: (illegible ?Roslie?) Hall, Ivan
Filed: 01 November 1931
Registrar: J. H. Combs
Death Date: 18 August 1931
I hereby certify that I attended deceased from (blank), to
(blank), that I last saw h-- alive on (blank), and that death
occurred, on the date stated above at (blank)
Cause of Death: (blank)
Duration: (blank)
Contributory: (blank)
Signed/Address: (blank)
Length of residence at place of death: (blank)
Where was disease contracted if not at place of death?:
(blank)
Place of Burial or Removal: W. R. (illegible Am?) Graveyard
Date of Burial: (blank)
Undertaker/Address: E M Hall, Isom, Ky.
Transcribed by Debbie Tamborski, 30 March 2010 |
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