Date: 19 May 1950
Cert: 12599
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): All of life
Street address or location: Mousie
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural Street Address:
Mousie
Full Name: John CAMPBELL
Date of Death: 19 May 1950
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: unknown
Age: 86 years approximately
Usual Occupation: Farmer
Kind of Industry or business: Farming
Birthplace: Floyd Co., Ky.
Father's Name: Daniel CAMPBELL
Mother's Maiden Name: Louise BRANHAM
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: H. C. CAMPBELL
Disease or condition directly leading to death: Cardiac
failure
Interval between onset and death: (blank)
Due to (b): Uremia poisoning
Due to (c): Arthritis
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: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 07 June 1950
Address: Garrett, Ky.
Signature: C. B. Ison, M.D.
Burial, Cremation or Removal: Burial
Date: 21 May 1950
Name of Cemetery or Crematory: Turner Campbell
Location: Mousie
Date received by local registrar: 12 June 1950
Registrar's Signature: Rose B. Craft
Funeral director/address: Hindman Funeral Home by J. N. Taul
Transcribed by Debbie Tamborski, 12 January 2011 |