Date:    14 August 1948
Cert:    21269 
Place of Death: County: Knott   City or Town:  Lackey
Name of Hospital or Institution: Stumbo Mem. Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town:  Dema, Ky. 
Full Name:  Green CAMPBELL 
If Veteran Name War: World War #1
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Male, White, Married 
Husband or Wife of:  Dovie CAMPBELL
Age of husband or wife if alive: 54 years
Birth date of deceased:  09 September 1894 
Age:  53 years, 10 months, 05 days
Birthplace:  Floyd Co., Ky. 
Occupation:  Gas Pumper 
Industry or business:  (blank)
Father Name:  John CAMPBELL 
Father Birthplace:  Perry Co., Ky. 
Mother Maiden Name:   Rosa PIGMAN 
Mother Birthplace:   Knott Co., Ky. 
Informant:   Seymour CAMPBELL, Dema, Ky. 
Burial Place:   Dema, Ky. 
Date:  17 August 1948 
Signature of funeral director:  W. J. Ryan, Martin, Ky.
Date received by local registrar:  17 October 1948 
Registrar's Signature:  Rose B. Craft
Date of Death:  14 August 1948 
I hereby certify that I attended deceased from 14 August 1948 to 14 August 1948, that I last saw him alive on 14 August 1948, and that death occurred on the date stated above at 7:00 p.m.
Immediate cause of death:  Respiratory depression 
Duration: (blank)
Due to:  Cerebral hemorrhage
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  C. M. Aker, M.D., Lackey, Ky.
Date signed:  25 October 1948 
Transcribed by Debbie Tamborski, 22 December 2010