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DEATH
CERTIFICATE
OLIVER HALL
Date 30 January 1933
Cert: Original # 00944 Duplicate
#01968
Place of Death: Voting Pct.: Beaver Valley Hospital,
John Possum, Martin, Floyd Co., Ky.
Full Name: Oliver HALL
Residence: Holly Bush, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Alice HALL
Date of Birth: 26 January 1911
Age: 22 years, 04 days
Occupation: Farmer
Birthplace: Knott Co., Raven, Ky.
Father Name: John HALL
Birthplace Father: Knott Co.
Mother Maiden Name: Millie MOSLEY
Birthplace Mother: Knott Co.
Informant/Address: John HALL, Top Most, Ky.
Filed: 30 January 1933
Registrar: Mrs. W. L. Stumbo
Death of Date: 30 January 1933
I hereby certify that I attended deceased from 25 January 1933
to 30 January 1933, that I last saw him alive on 30 January
1933, and that death occurred on the date stated above at 2:45
p.m.
Cause of Death: Broken Back by fall
Duration: (blank)
Contributory: (blank)
Duration: (blank)
Where was disease contracted if not at place of death?:
(blank)
Did an operation precede death: (blank) Date: (blank)
Was there an autopsy: (blank)
What test confirmed diagnosis: (blank)
Signed/Address: W. L. Stumbo, M.D., 30 January 1933
Place of Burial or Removal: Ravin, Ky.
Date of Burial: 01 February 1933
Undertaker/Address: E. P. Arnold, Prestonsburg
Transcribed by Debbie Tamborski, 02 April 2010 |
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