DEATH CERTIFICATE
BETTY SUE CAMPBELL
BETTY SUE CAMPBELL
Commonwealth of Kentucky
State Board of Health
Bureau of Vital Statistics
Certificate of Death
File No.: 24246
Place of Death: Mousie, Knott Co., KY
Usual Place of Residence: Looks like Knott was crossed out
and below it was writted Breathitt
Name: BETTY SUE CAMPBELL
Female, White, Single
Date of Birth: Aug 10, 1935
Place of Birth: Mousie, Knott Co., KY
Age at Death: 5 yrs, 1 mos., 18 days
Father: T.C. CAMBELL
Birthplace of Father: Knott Co., KY
Mother: GRAYCE MAGGARD
Birthplace of Mother: Leburn, KY
Date of Death: Sep 28, 1940, 3 P.M.
Cause of Death: Hit by car, killed instantly
Due to: Crushed skull and internal organs
Date of Accident: Sep 28, 1940
Where: Public Highway
Means of Injury: Crushed Skull
Signed: G.D. Ryan, T.D., Martin, KY
Informant: T.C. CAMPBELL, Mousie, KY
Burial: Mousie, KY
Date of Burial: Sep 29, 1940
Undertaker: D.B. Bryan, Martin, KY
Filed: 11-15-1940, Macie Miller, Registrar
Submitted by Louise Gaskill
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