DEATH
CERTIFICATE
RUSSELL HALL
Date: 27 November 1947
Cert: 23958
Place of Death: County: Floyd City or Town:
Wheelwright
Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Floyd
City or Town: Wheelwright
Full Name: Russell HALL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 29 March 1924
Age: 23 years, 07 months, 28 days
Birthplace: Knott County, Kentucky
Occupation: (blank)
Industry or business: (blank)
Father Name: Prentiable HALL
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Jane FOUTS
Mother Birthplace: Knott Co., Ky.
Informant: Prentiable HALL, Wheelwright, Ky.
Burial Place: Knott County, Ky., Kain Hall Cemetery
Date: 29 November 1947
Signature of funeral director: J. W. Call & Son, Pikeville,
Ky.
Date received by local registrar: 04 December 1947
Registrar's Signature: Lucy Ransdell
Date of Death: 27 November 1947
I hereby certify that I attended deceased from 25 November
1947 to
27 November 1947, that I last saw him alive on 26 November
1947, and that death occurred on the date stated above at 8:30
a.m.
Immediate cause of death: Cardiac Failure
Duration: (blank)
Due to: Pneumonia 03 days Following measles 10 days
Other conditions: Epilepsy
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Russell L. Hall, M.D.,
Wheelwright, Ky.
Date signed: 27 November 1947
Transcribed by Debbie Tamborski, 23 June 2010 |
|