DEATH
CERTIFICATE
SAMMIE L. HALL
Date 23 May 1949
Cert: 12808
Place of Death: County: Perry City or
Town: Hazard
Length of stay in hospital or community:
Name of Hospital or Institution: Mt. Mary Hospital
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Red Fox, Ky.
Full Name: Sammie L. HALL
Date of Death: 23 May 1949
Sex, Color or Race, Marital Status: Male, White, Single
Date of Birth: 10 April 1948
Age: 01 years
Usual Occupation: none
Kind of Industry or business: none
Birthplace: Darton, Ky.
Father's Name: Frank HALL
Mother's Maiden Name: Glenda Fay HALL
Was deceased in ever in armed forces: No
Social Security No.: None
Informant: Frank HALL
Disease/condition directly leading to death: acute
gastroenteritis
Interval between onset and death:
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (blank)
Accident, suicide, or homicide: no
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 23 May 1949 to
23 May 1949, that I last saw the deceased alive on 23 May
1949, and that death occurred on the date stated above at
(blank), from the causes and on the date stated above.
Date signed: 25 May 1949
Address: Hazard
Signature: E. C. Boggs, M.D.
Burial, Cremation or Removal: Burial
Date: 26 May 1949
Name of Cemetery or Creamatory: Hall Cemetery
Location: Hartley, Ky.
Date received by local registrar: 02 June 1949
Registrar's Signature: Helen C. Burriss
Funeral director and address: Maggard & Garrett, Hazard,
Ky.
Transcribed by Debbie Tamborski, 15 February 2010 |
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