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DEATH
CERTIFICATE
ROSE ANNA HALL
Date: 17 October 1946
Cert: 23584
Place of Death: County: Floyd City or Town:
(?Gearheart?)
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Bevinsville
Full Name: Rose Anna HALL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Willy HALL
Age of husband or wife if alive: 63 years
Birth date of deceased: 02 August
Age: 60 years
Birthplace: Knott Co., Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Eff LITTLE
Father Birthplace: Floyd Co., Ky.
Mother Maiden Name: Martha HALL
Mother Birthplace: Knott Co., Ky.
Informant: Willy HALL, Bevinsville, Ky.
Burial Place: Bevinsville, Ky.
Date: 19 October 1946
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 29 November 1946
Registrar's Signature: Lucy Ramsdell
Date of Death: 17 October 1946
I hereby certify that I attended deceased from 17 October 1946 to
17 October 1946, that I last saw him alive on (blank), and
that death occurred on the date stated above at 1:45 p.m.
Immediate cause of death: Fractured cervical vertebrae
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: accident
Date of occurrence: 17 October 1946
Where did injury occur: R. R. Crossing
While at work: No
Means of injury: Locomotive
Signature & Address: W. J. Ryan, Emb., Martin, Ky.
Date signed: 18 October 1946
Transcribed by Debbie Tamborski, 09 June 2010 |
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