Date:  18 May 1949
Cert:  10110 
Place of Death: County: Knott      City or Town: Red Fox, Ky.
Length of stay (in this place): (blank)
Name of Hospital or Institution: None
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town: Red Fox     Street Address: None
Full Name:  John BACK
Date of Death:  18 May 1949
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  22 August 1865
Age:  83 years 
Usual Occupation:  Farmer
Kind of Industry or business: Farm
Birthplace:  Letcher County, Ky.
Father's Name:  Lewis BACK
Mother's Maiden Name:  Minnie SUMNER
Was deceased ever in armed forces: No
Social Security No.:  None
Informant:  Virginia BACK
Disease or condition directly leading to death: Cerebral Hemorrhage
Interval between onset and death:  (blank)
Due to:  arteriosclerotic blood vessels & hypertension
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
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 12 May 1949 to 17 May 1949, that I last saw the deceased alive on 17 May 1949, and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  25 May 1949
Address:  Anco, Ky.
Signature:  J. R. Aker, M.D.
Burial, Cremation or Removal:  Burial
Date:  20 May 1949
Name of Cemetery or Crematory:  Hylton Cemetery
Location:  Cody, Ky.
Date received by local registrar: 30 May 1949
Registrar's Signature:  Rose B. Craft
Funeral director & address:  Maggard & Garrett, Hazard, Ky.
Transcribed by Debbie Tamborski, 02 January 2011