Date: 05 December 1947
Cert: 29049
Place of Death: County: Knott City or
Town: Lackey
Name of Hospital or Institution: Stumbo Mem. Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Topmost
Full Name: Sarah Ellen HALL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Widowed
Husband or Wife of: Annias HALL
Age of husband or wife if alive: Deceased
Birth date of deceased: 24 March 1876
Age: 71 years, 08 months, 14 days
Birthplace: Knott Co., Ky.
Occupation: Housewife
Industry or business: (blank)
Father Name: F. P. COOK
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Florence VANCE
Mother Birthplace: Knott Co., Ky.
Informant: J. W. HALL, Martin, Ky.
Burial Place: Topmost, Ky.
Date: 07 December 1947
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 12 January 1948
Registrar's Signature: Rose B. Craft
Date of Death: 05 December 1947
I hereby certify that I attended deceased from 13 November
1947 to
05 December 1947, that I last saw him alive on 05 December
1947, and that death occurred on the date stated above at 9:00
a.m.
Immediate cause of death: Hypostatic pneumonia
Duration: (blank)
Due to: Secondary to 2nd & 3rd degree burns
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: (illegible) M.D., Lackey, Ky.
Date signed: 08 April 1948
Transcribed by Debbie Tamborski, 18 December 2010 |