Date: 15 March 1944
Cert: Duplicat No. 18752 Original No.:
16579
Place of Death: County: Knott City or
Town: Hall, Ky.
Street Number or Location: Rural
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Hall, Ky. Street No.:
Rural
Full Name: Rean HALL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Widowed
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 21 June 1866
Age: 77 years, 08 months, 28 days
Birthplace: Hall, Ky.
Occupation: Housewife
Industry or business: None
Father Name: John HALL
Father Birthplace: Hall, Ky.
Mother Maiden Name: Sarah JOHNSON
Mother Birthplace: Weeksbury
Informant: Bruce MARTIN, Hall, Ky.
Burial Place: Hall, Ky.
Date: 16 March 1944
Signature of funeral director: R. E. Holbrook, Puncheon
Date received by local registrar: 01 August 1944
Registrar's Signature: Ida Livingston
Date of Death: 15 March 1944
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw h-- alive on November 1943, and that
death occurred on the date stated above at 9 p.m.
Immediate cause of death: Cancer of nose & face
Duration: (blank)
Due to: (blank)
Other conditions: Bladder trouble
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: W. D. Osborn, M.D., Lackey, Ky.
Date signed: 08 July 1944
Transcribed by Debbie Tamborski, 13 November 2010 |