Date: 07 October 1951
Cert: 20841
Place of Death: County: Knott
City or Town: Lackey
Length of stay (in this place): 03 days
Street address or location: Stumbo Hospital
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Rural Street
Address: Lackey
Full Name: Perry HALL
Date of Death: 07 October 1951
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 13 January 1901
Age: 50 years
Usual Occupation: Miner
Kind of Industry or business: Coal Mining
Birthplace: Knott County, Ky.
Father's Name: Hiram JOHNSON
Mother's Maiden Name: Evalina HALL
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Mrs. Eda HALL
Disease or condition directly leading to death: Hypostatic
Pneumonia
Interval between onset and death: 01 day
Due to (b): Pneususthorax Hemothoras Left
Interval between onset and death: 05 days
Due to (c): Fractured ribs
Interval between onset and death: 05 days
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: accident
Place of injury: mines
City or Town, County, State: (blank)
Time of Injury: 02 October 1951, 11 a.m.
Injury occurred at work: While at work
How did injury occur: Slate fall
I hereby certify that I attended deceased from 02 October 1951
to 06 October 1951, that I last saw the deceased alive on 06
October 1951, and that death occurred at 7:25 p.m., from the
causes and on the date stated above.
Date signed: 11 October 1951
Address: Lackey, Ky.
Signature: Martha A. Loving, M.D.
Burial, Cremation or Removal: Burial
Date: 09 October 1951
Name of Cemetery or Crematory: Hall Cemetery
Location: Topmost, Ky.
Date received by local registrar: 15 October 1951
Registrar's Signature: Rose B. Craft
Funeral director & address: John N. Taul, Hindman, Ky.
Transcribed by Debbie Tamborski, 19 January 2011 |