DEATH CERTIFICATE

JAMES BALLARD CASEBOLT

Date:  11 July 1951
Cert:  14595 
Place of Death: County: Knott      City or Town: Rural
Length of stay (in this place): All of life
Street address or location:  Mousie, Ky.
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Rural    If rural give precinct:  Mousie, Ky.
Full Name:  James Ballard CASEBOLT
Date of Death:  11 July 1951
Sex, Color or Race, Marital Status: Male, White, Widowed
Date of Birth:  08 November 1886
Age:  64 years
Usual Occupation:  School teacher
Kind of Industry or business: Teaching
Birthplace:  Knott
Father's Name:  W. R. CASEBOLT
Mother's Maiden Name:  Helen NICKELS
Was deceased ever in armed forces: (blank)
Social Security No.: 404-07-6671
Informant:  French CASEBOLT
Disease or condition directly leading to death:  (blank)
Interval between onset and death:  (blank)
Due to:  Cerebral Hemorrhage
Other significant conditions: (blank)
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 08 July 1951 to 11 July 1951, that I last saw the deceased alive on 11 July 1951, and that death occurred at 7:00 p.m., from the causes and on the date stated above.
Date signed:  17 July 1951 
Address:  Garrett, Ky.
Signature:  C. B. Ison, M.D.
Burial, Cremation or Removal:  Burial
Date:  14 July 1951
Name of Cemetery or Crematory:  Campbell Cemetery
Location:  Knott, Ky.
Date received by local registrar: 17 July 1951
Registrar's Signature:  Rose B. Craft
Funeral director & address: John N. Taul, Hindman, Ky.
Transcribed by Debbie Tamborski, 18 January 2011