All spelling is how it appeared to the transcriber.

TRANSCRIPTION OF JAMES HALL’S DEATH CERTIFICATE
Commonwealth of Kentucky, State Board of Health, Bureau of Vital Statistics, 
Certificate of Death.
File No. 18455, Registered No. b
Place of Death:
County - Estill
Vot. Pct. - Forks
Personal and Statististical Particulars:
Sex - Male
Color or Race - White
Single, Married, Widowed, or Divorced - Widowed
Date of birth - June 12, 1839
Age - 74 yrs., 7 mos, 15 ds.
Occupation - Farmer
Birthplace - Ky.
Name of father - Martin Hall
Birthplace of father - Ky.
Maiden name of mother: Elizabeth Brock
Birthplace of mother: Ky.
The above is true to the best of my knowledge:
Informant - Hester Johnson
Address - Iron Mound, Ky.
Filed - Sept. 2, 191? - J. Tuttle, Registrar
Medical certificate of death:
Date of death - Oct. 27, 1914
The cause of death - Dropsy
Signed - Hester Johnson, Daughter, Sept. 2, 1916
Address - Iron Mound, Ky.
Place of burial or removal - Hall Graveyard
Date of burial - Oct. 28, 1914
Undertaker - George Powell
Address - Fox, Kentucky