Date:  17 February 1950
Cert:  05586
Place of Death: County: Knott      City or Town: Rural
Length of stay (in this place): All of life
Street address or location:  Amburgey, Ky.
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Rural     If rural give precinct:  Irishman Creek
Full Name:  Jack ASHLEY
Date of Death:  17 February 1950
Sex, Color or Race, Marital Status: Male, White, Widowed
Date of Birth:  08 October 1869
Age: 80 years
Usual Occupation:  Farmer
Kind of Industry or business: Farming
Birthplace:  Knott Co.
Father's Name:  J. T. ASHLEY
Mother's Maiden Name:  Sarah HURT
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Herman ASHLEY
Disease or condition directly leading to death: Congestive Heart Disease
Interval between onset and death:  02 months
Due to:  Senility
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 01 December 1949 to 17 February 1950, that I last saw the deceased alive on 16 February 1950, and that death occurred at 1:30 p.m., from the causes and on the date stated above.
Date signed:  27 February 1950
Address:  Allock
Signature:  A. B. Pigman, M.D.
Burial, Cremation or Removal:  Burial
Date:  19 February 1950
Name of Cemetery or Crematory:  Ashley
Location:  Knott Co.
Date received by local registrar: 10 March 1950
Registrar's Signature:  Rose B. Craft
Funeral director/address: Hindman Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 10 January 2011