Date: 01 September 1955
Cert: #18752
Place of Death: County: Knott City or Town:
Hall - Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Hall - Rural Street Address: (blank)
Full Name: Stumber (S.R.) HALL
Date of Death: 01 September 1955
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 31 May 1900
Age: 55 years
Usual Occupation: Laborer
Kind of Industry or business: Construction
Birthplace: Ky.
Father's Name: Meek HALL
Mother's Maiden Name: Susana HALL
Was deceased ever in armed forces: (blank)
Social Security No.: 403-16-9160
Informant: Lennie HALL - Wife
Disease or condition directly leading to death: Toxemia
Interval between onset and death: (blank)
Due to: Obstruction of bowels
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
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 10 August 1955 to
01 September 1955, that I last saw the deceased alive on 01
September 1955, and
that death occurred at 3:45 p.m., from the causes and on the
date stated above.
Date signed: 07 September 1955
Address: Fleming, Ky.
Signature: E. F. Skaggs, M.D.
Burial, Cremation or Removal: Burial
Date: 03 September 1955
Name of Cemetery or Crematory: Hall Cemetery
Location: Hall, Ky.
Date received by local registrar: 09 September 1955
Registrar's Signature: Myrtle Slone
Funeral director & address: Craft Funeral Home,
Neon, Ky.
Transcribed by Debbie Tamborski, 19 June 2011 |