Date: 06 November 1944
Cert: 27650
Place of Death: County: Knott City or
Town: Topmost Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Topmost Rural
Full Name: Syltania HALL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Wm. HALL
Age of husband or wife if alive: 76 years
Birth date of deceased: 01 August 1876
Age: 68 years, 03 months, 05 days
Birthplace: Floyd Co., Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: John HALL
Father Birthplace: Floyd Co., Ky.
Mother Maiden Name: Lessie NEWSOM
Mother Birthplace: Floyd Co., Ky.
Informant: Arvil HALL, Topmost, Ky.
Burial Place: Bevinsville, Ky.
Date: 07 November 1944
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 30 December 1944
Registrar's Signature: Ida Livingston Rose
B. Craft Acting Registrar
Date of Death: 06 November 1944
I hereby certify that I attended deceased from 01 October 1944 to
01 November 1944, that I last saw him alive on 01 November
1944, and that death
occurred on the date stated above at 2:15 a.m.
Immediate cause of death: Fracture of neck of right
femur
Duration: (blank)
Due to: (blank)
Other conditions: Old age
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: A. R. Hodge, M.D., Lackey
Date signed: 30 December 1944
Transcribed by Debbie Tamborski, 13 November 2010 |