DEATH CERTIFICATE

(Stillbirth) HALL

Date   08 October 1917
Cert: #  28259
Name: (Stillbirth) HALL
Male, White
Age: (stillbirth)
Place of Death: Voting Precinct Beaver, Kite, Knott Co., KY
Birth Date:  08 October 1917
Occupation: (blank)
Place of Birth:  Knott Co.
Name of Father:  Crockett HALL
Birthplace Father:  Knott Co.
Maiden Name of Mother:  Lina Ellen ANDERSON
Birthplace Mother:  Floyd Co.
Informant:  (blank)
Death Date:  08 October 1917
Cause of Death: not known 
Signed:  Chas. Sturgill, M.D.
Burial Place:  (blank)
Date of Burial: (blank)
Undertaker: (blank)
File Date: 17 October 1917
Transcribed by Debbie Tamborski, 10 November 2008