Date: 17 February 1943
Cert: 15253
Place of Death: County: Knott City or
Town: Litt Carr (rural)
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Litt Carr (rural)
Full Name: Virgil Doyle 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: 07 December 1942
Age: 02 months, 10 days
Birthplace: Litt Carr, Ky.
Occupation: none
Industry or business: (blank)
Father Name: Vernon HALL
Father Birthplace: Litt Carr, Ky.
Mother Maiden Name: Stella TOLLIVER
Mother Birthplace: Smithboro, Ky.
Informant: Stella HALL, Litt Carr, Ky.
Burial Place: Litt Carr
Date: 17 February 1943
Signature of funeral director: Friends, Litt Carr, Ky.
Date received by local registrar: 16 March 1945
Registrar's Signature: (blank) per B. Carns
Date of Death: 17 February 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: Lobar Pneumonia
Duration: (blank)
Due to: (blank)
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: J. R. Aker, M.D., Anco, Ky.
Date signed: 16 March 1945
Transcribed by Debbie Tamborski, 23 October 2010 |