Date 14 September 1954
Cert: # 20295
Place of Death: County: Knott
City or Town: Litt Carr
Length of stay in hospital or community: (blank)
Name of Hospital or Institution: Bettys Troublesome
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Rural ~ Littcarr
Full Name: Phillip Ray Hall
Date of Death: 14 September 1954
Sex, Color or Race, Marital Status: male, white, never married
Date of Birth: 14 September 1954
Age:
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Kentucky
Father's Name: John Henry Hall
Mother's Maiden Name: Fannie Noble
Was deceased in ever in armed forces: (blank)
Social Security No.: (blank)
Informant: John Henry Hall
Disease or condition directly leading to death: Unknown
Interval between onset and death:
Due to:
Other significant conditions: Mother fell a few days prior to
birth of baby
Date of Operation: (blank)
Major findings for operation: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 14 Sept 1954 to
14 Sep 1954, that I last saw the deceased alive on 3:15 am,
and that death occurred on the date stated above at from the
causes and on the date stated above.
Date signed: 04 October
Address: Litt Carr, Ky
Signature: Susie Combs ~ Midwife
Burial, Cremation or Removal: Burial
Date: 15 September 1954
Name of Cemetery or Crematory: Tolliver Cemetery
Location: Litt Carr, Ky
Date received by local registrar: 04 October 1954
Registrar's Signature: Myrtle Slone
Funeral director and address: John Hall
Transcribed by Gloria Marcum ~ 15 March 2010 |