Date: 23 May 1949
Cert: 27784
Place of Death: County: Knott City or Town: Garner,
Ky. Rural
Length of stay (in this place): (blank)
Street address or location: On Watts Fork
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Garner Rural If rural give precinct:
On Watts Fork
Full Name: Vertia JOHNSON HALL
Date of Death: 23 May 1949
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 21 June 1928
Age: 20 years
Usual Occupation: Housewife
Kind of Industry or business: Home
Birthplace: Kentucky
Father's Name: A. L. JOHNSON
Mother's Maiden Name: Nannie ANDERSON
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant: Mark Dempsey
Disease/condition directly leading to death: Mitral
Regurgitation
Interval between onset and death: 08 years
Due to (b): Anemia
Interval between onset and death: (blank)
Due to (c): During Labor
Interval between onset and death: (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 23 May 1949 to
23 May 1949, that I last saw the deceased alive on 23 May
1949, and that death occurred at 4 p.m., from the causes and
on the date stated above.
Date signed: 23 May 1949
Address: Garrett, Ky.
Signature: Mark Dempsey, M.D.
Burial, Cremation or Removal: Burial
Date: 25 May 1949
Name of Cemetery or Crematory: Johnson Cemetery
Location: Garner, Ky.
Date received by local registrar: 20 June 1949
Registrar's Signature: Rose B. Craft
Funeral director & address: G. D. Ryan, Martin, Ky.
Transcribed by Debbie Tamborski, 05 January 2011 |