DEATH CERTIFICATE

ANDREW CAMPBELL

Date:  01 February 1954
Cert:  #16293 
Place of Death: County: Knott      City or Town:  Hindman
Length of stay (in this place): 40 years
Street address or location:  Born at Home
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Hindman   If rural give location: at Hindman Rural
Full Name:  Andrew CAMPBELL
Date of Death:  01 February 1954 
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  02 November 1879 
Age:  75 years
Usual Occupation:  Farmer
Kind of Industry or business: Farming
Birthplace:  Ky. 
Father's Name:  Jasper CAMPBELL 
Mother's Maiden Name:  Norma SMITH 
Was deceased ever in armed forces: No
Social Security No.:  None
Informant:  Darcas CAMPBELL 
Disease or condition directly leading to death: Paralysis
Interval between onset and death:  (blank)
Due to:  (blank)
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: Not while at work
How did injury occur: (blank)
I hereby certify that I attended deceased from 25 January 1954 to 01 February 1954, that I last saw the deceased alive on 01 February 1954, and that death occurred at 2:30 p.m., from the causes and on the date stated above.
Date signed:  06 March 1954
Address:  Hindman, Ky.
Signature:  M. F. Kelly
Burial, Cremation or Removal: Burial
Date:  02 February 1954
Name of Cemetery or Crematory: Ritchie Cemetery
Location:  Hindman, Ky.
Date received by local registrar: 30 June 1954
Registrar's Signature: Mrs. Rose B. Craft
Funeral director & address:  Charles L. Hornsby, Hindman, Ky.
Transcribed by Debbie Tamborski, 12 March 2011