DEATH
CERTIFICATE
SUSIE HALL
Date: 10 July 1947
Cert: 17486
Place of Death: County: Floyd City or Town:
Bevinsville
Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Bevinsville
Full Name: Susie HALL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widowed
Husband or Wife of: Willie HALL
Age of husband or wife if alive: 51 years
Birth date of deceased: Don't know
Age: 82 years
Birthplace: Knott Co.
Occupation: Domestic
Industry or business: (blank)
Father Name: Jack JONSON
Father Birthplace: Knott Co.
Mother Maiden Name: Beckie ISAAC
Mother Birthplace: Floyd Co.
Informant: Hattie HALL, Bevinsville
Burial Place: Bevinsville
Date: 11 July 1947
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 15 August 1947
Registrar's Signature: Lucy Ransdell
Date of Death: 10 July 1947
I hereby certify that I attended deceased from 20 June 1947 to
09 July 1947, that I last saw him alive on 09 July 1947, and
that death occurred on the date stated above at 4:20 a.m.
Immediate cause of death: Chronic heart disease died
suddenly
Duration: (blank)
Due to: (blank)
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: Marvin Ransdell, Prestonsburg,
Ky.
Date signed: 13 August 1947
Transcribed by Debbie Tamborski, 23 June 2010 |
|