Date: 13 December 1951
Cert: 26638
Place of Death: County: Knott
City or Town: (illegible)
Length of stay (in this place): (illegible)
Street address or location: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural (illegible) Street Address:
(blank)
Full Name: Tena HALL
Date of Death: 13 December 1951
Sex, Color or Race, Marital Status: Female, White, (illegible)
Date of Birth: (blank)
Age: approx. 58 years
Usual Occupation: (illegible)
Kind of Industry or business: (illegible)
Birthplace: Ky.
Father's Name: (illegible)
Mother's Maiden Name: (illegible)
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: (illegible)
Disease/condition directly leading to death: Carcinoma
of Breast
Interval between onset and death: (blank)
Due to: (blank)
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 (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 13 December 1951
Address: Hindman, Ky.
Signature: J. N. Taul (Coroner)
Burial, Cremation or Removal: Burial
Date: 17 December 1951
Name of Cemetery or Crematory: (illegible)
Location: Bath, Ky.
Date received by local registrar: 04 January 1952
Registrar's Signature: Rose B. Craft
Funeral director & address: Charles L. Hornsby,
Hindman, Ky.
Transcribed by Debbie Tamborski, 19 January 2011 |