Date: 08 August 1946
Cert: 19917
Place of Death: County: Knott City or
Town: Topmost, Ky. 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: Vernon HALL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 09 March 1927
Age: 19 years, 04 months, 29 days
Birthplace: Knott Co., Ky.
Occupation: Lumber Mill Employee
Industry or business: (blank)
Father Name: Ernest HALL
Father Birthplace: Knott
Mother Maiden Name: Lula WADDLES
Mother Birthplace: Knott
Informant: Ernest HALL, Topmost, Ky.
Burial Place: Topmost, Ky.
Date: 09 August 1946
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 21 September 1946
Registrar's Signature: Mrs. Rose B. Craft
Date of Death: 08 August 1946
I hereby certify that I attended deceased from 08 July 1946 to
08 August 1946, that I last saw him alive on (blank), and that
death occurred on the date stated above at 12:45 a.m.
Immediate cause of death: Pneumonia
Duration: 01 week
Due to: Chronic Bronchiectasis
Duration: 01 year
Major findings of operations: none Of
Autopsy: None
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. S. Williams, M.D., Lackey,
Ky.
Date signed: 21 September 1946
Transcribed by Debbie Tamborski, 07 December 2010 |