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DEATH
CERTIFICATE
THOMAS REED HALL
Date 12 January 1943
Cert: 02134
Place of Death: County: Menifee City or Town:
Fagan, Ky. (Rural)
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky County: Menifee
City or Town: Fagan (Rural) If rural give
precinct: No. 7
Full Name: Thomas Reed HALL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Widowed
Husband or Wife of: Lula HALL
Age of husband or wife if alive: (blank)
Birth date of deceased: 15 February 1879
Age: 64 years, 10 months, 28 days
Birthplace: Knot Co.
Occupation: Farmer
Industry or business: (blank)
Father Name: John HALL
Father Birthplace: Unknown
Mother Maiden Name: Jennie FRANCE
Mother Birthplace: Knot Co.
Informant: Buell HALL, Fagan, Ky.
Burial Place: Fagan, Ky.
Date: 13 (blank) 1943
Signature of funeral director: Tom Williams, Fagan, Ky.
Date received by local registrar: 21 January 1943
Registrar's Signature: Velva Ferrell
Date of Death: 12 January 1943
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: (illegible)
Duration: (blank)
Due to: Cancer of rectum
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: Richard F. Adler, M.D.,
Frenchburg
Date signed: 22 January 1943
Transcribed by Debbie Tamborski, 31 May 2010 |
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