DEATH CERTIFICATE

JOHN CAMPBELL

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