Date  19 August 1954
Cert:  # 18290
Place of Death: County:  Knott
City or Town:  Lackey
Length of stay in hospital or community: 12 Hours
Name of Hospital or Institution:  Stumbo Memorial Hosp.
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town:  Hindman
Full Name: Albert Milton Ashley
Date of Death: 19 August 1954 
Sex, Color or Race, Marital Status: male, white, single
Date of Birth:  31 January 1939
Age: 15
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace:  Knott Co. KY ~ USA
Father's Name:  Elisha Ashley
Mother's Maiden Name:  Nancy Madden
Was deceased in ever in armed forces: (blank)
Social Security No.: (blank)
Informant:   Elisha Ashley
Disease or condition directly leading to death:  Generalized Peritonitis
Interval between onset and death:  12 Hours
Due to:  Gun shot wound of Abdomen
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: Multiple perforation large & small bowel
Accident, suicide, or homicide: Accident
Place of injury: Woods
City or Town, County, State: Knott, Kentucky
Time of Injury: 18 August 1954
Injury occurred at work: (blank)
How did injury occur: Fell on Shot Gun
I hereby certify that I attended deceased from 18 August 1954 to 19 August 1954, that I last saw the deceased alive on 9:12 pm, and that death occurred on the date stated above at  from the causes and on the date stated above.
Date signed: 03 September 1954
Address: Lackey, Kentucky
Signature:  Charles  L. Roach, MD
Burial, Cremation or Removal: Burial
Date:  22 August 1954
Name of Cemetery or Crematory: Family Cemetery
Location: Hindman, Kentucky
Date received by local registrar: 10 September 1954
Registrar's Signature: Myrtle Slone
Funeral director and address: John Everage ~ Hindman, Ky
Transcribed by Gloria Marcum ~ 14 March 2010