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 |