Date: 22 August 1955
Cert: #18750
Place of Death: County: Knott City or Town:
Sassafras - Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Sassafras - Rural Street Address: (blank)
Full Name: Raleigh H. HALL
Date of Death: 22 August 1955
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 04 January 1880
Age: 75 years
Usual Occupation: Retired Miner
Kind of Industry or business: Mines
Birthplace: State of Ohio
Father's Name: Ephram HALL
Mother's Maiden Name: Elizabeth DAY
Was deceased ever in armed forces: No
Social Security No.: 403-207-247
Informant: Abbie HALL (Wife), Sassafras, Ky.
Disease or condition directly leading to death:
Bronchial Asthma
Interval between onset and death: 05 years
Due to (b): Senility
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
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 June 1950 to 22
August 1955, that I last saw the deceased alive on 20 August
1955, and
that death occurred at 2 a.m., from the causes and on the
date stated above.
Date signed: 28 August 1955
Address: Allock
Signature: A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date: 26 August 1955
Name of Cemetery or Crematory: Cornett Hill at Sassafras
Location: Sassafras, Kentucky
Date received by local registrar: 26 September 1955
Registrar's Signature: Myrtle Slone
Funeral director & address: Maggard & Garrett,
Hazard, Ky.
Transcribed by Debbie Tamborski, 19 June 2011 |