Date: 20 November 1952
Cert: 28247
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): 10 years
Street address or location: Mousie, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
precinct: Mousie, Ky.
Full Name: Susie GILBERT HALL
Date of Death: 20 November 1952
Sex, Color or Race, Marital Status: Female, White,
Married
Date of Birth: 18 November 1883
Age: 69 years
Usual Occupation: Housewife
Kind of Industry or business: Keeping house
Birthplace: Dickinson County, Va.
Father's Name: John GILBERT
Mother's Maiden Name: Lydia RAKES
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Sank HALL
Disease or condition directly leading to death: (illegible)
Intestines
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
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 01 November
1952 to
20 November 1952, that I last saw the deceased alive on 20
November 1952, and
that death occurred at 1 p.m., from the causes and on the
date stated above.
Date signed: 22 November 1952
Address: Garrett, Ky.
Signature: C. B. Ison, M.D.
Burial, Cremation or Removal: Burial
Date: 23 November 1952
Name of Cemetery or Crematory: Campbell Cemetery
Location: Mousie, Ky.
Date received by local registrar: 20 December 1952
Registrar's Signature: Rose B. Craft
Funeral director & address: John N. Taul, Hindman,
Ky.
Transcribed by Debbie Tamborski, 26 January 2011 |