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 |