Date: 25 November 1943
Cert: 20724
Place of Death: County: Knott City or
Town: Mousie, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Mousie, Ky. Rural
Full Name: Joe CAMPBELL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Widowed
Husband or Wife of: Mary SLONE CAMPBELL
Age of husband or wife if alive: Dead
Birth date of deceased: 11 November 1876
Age: 67 years, 00 months, 10 days
Birthplace: Floyd Co., Ky.
Occupation: Farmer
Industry or business: Farming
Father Name: John CAMPBELL
Father Birthplace: Floyd Co., Ky.
Mother Maiden Name: Rosie PIGMAN
Mother Birthplace: Letcher Co., Ky.
Informant: Liza WICKER, Mousie, Ky.
Burial Place: Judge Martin Cem.
Date: 27 November 1943
Signature of funeral director: Friends & Relatives, Dema, Ky.
Date received by local registrar: 15 September 1944
Registrar's Signature: Ida Livingston,
Rose B. Craft, Acting Registrar
Date of Death: 25 November 1943
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 6 p.m.
Immediate cause of death: Apparently this man was run over by
heavy truck or other vehicle - top of head crushed off.
Body found on highway No. 80 about 1/4 mile from Mousie P.O.
Duration: (blank)
Due to: (blank)
Major findings of autopsy: Neighbors who found the body
could not get coroner
Accident, suicide, or homicide: Accident
Date of occurrence: 25 November 1943
Where did injury occur: On Highway No
While at work: No
Means of injury: Truck or car
Signature & Address: J. W. Duke, M.D., Hindman, Ky.
Date signed: 14 September 1944
Transcribed by Debbie Tamborski, 20 October 2010 |