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DEATH
CERTIFICATE
Mrs. POLLY HALL
Date 09 December 1937
Cert: 7227
Name: Mrs. Polly HALL
Place of Death: Vot Pct. #19 Lackey, Stumbo M.
Hosp., Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Female, White, Married
Husband or Wife of: (blank)
Birth Date: (blank)
Age: 73 years
Occupation: (blank)
Place of Birth: Floyd County
Name of Father: Fred STUMBO
Birthplace Father: Knott County
Maiden Name of Mother: Polly PATTON
Birthplace Mother: Floyd County
Informant: Steve HALL, Shelby, Ky.
Death Date: 09 December 1937
Cause of Death: Phneumonia [sic]
Signed: W. L. Stumbo, M.D., Lackey, Ky.
Burial Place: (blank)
Date of Burial: 10 December 1937
Undertaker: G. D. Ryan, Martin
File Date: 11 April 1938
Registrar: Dr. G. C. Collins, D.D.S., Lackey, Ky.
Transcribed by Debbie Tamborski, 30 September 2009 |
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