Date: 09 May 1947
Cert: 28870
Place of Death: County: Knott City or
Town: Bevinsville, Ky.
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Bevinsville
Full Name: Rebeca HALL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Widowed
Husband or Wife of: Buddie HALL
Age of husband or wife if alive: Don't know
Birth date of deceased: 07 November 1875
Age: 71 years, 06 months, 02 days
Birthplace: Pike Co.
Occupation: Domestic
Industry or business: House
Father Name: Dave MULLINS
Father Birthplace: Pike Co.
Mother Maiden Name: Elvarney Hall
Mother Birthplace: Don't know
Informant: Luke HALL, Bevinsville
Burial Place: Bevinsville
Date: 10 May 1947
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 26 February 1948
Registrar's Signature: Rose B. Craft
Date of Death: 09 May 1947
I hereby certify that I attended deceased from 05 April 1947 to
09 May 1947, that I last saw him alive on 09 May 1947, and
that death occurred on the date stated above at 1 a.m.
Immediate cause of death: Myocardia
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
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. Osborne, M.D., Bypro, Ky.
Date signed: 25 February 1948
Transcribed by Debbie Tamborski, 18 December 2010 |