Date:   17 August 1941
Cert:   22639 
Place of Death: County: Knott     City or Town: Rural
Street No. or Location:  Anco, Ky.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Rural     If rural, give precinct:  #4
Full Name:  Andy COLE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, Colored, Widowed
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  ? (transcribed as written)
Age: 60 years
Birthplace:  Va.
Occupation:  Coal Miner
Industry or business: (blank)
Father Name:  Abe COLE
Father Birthplace:  Harlan Co., Ky.
Mother Maiden Name:  Bessie HARRIS
Mother Birthplace:  Va.
Informant:  Jesse COLE, Anco
Burial Place: Forrest Hill 
Date:  19 August 1941
Signature of funeral director: Engle Und. & Hdwe. Co., Hazard, Ky.
Date received by local registrar: 04 September 1941 by Kathryn S. Johnson
Date received by local registrar: 17 September 1941 by Phena Slone
Date of Death: 17 August 1941
I hereby certify that I attended deceased from 17 August 1941 to 17 August 1941, that I last saw him alive on (blank), and that death occurred on the date stated above at 9:30 p.m.
Immediate cause of death:  fractured skull
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: Homicide
Date of occurrence: 17 August 1941
Where did injury occur: Anco, Ky.
While at work: No
Means of injury: (blank)
Signature & Address: Chris S. Jackson, M.D., Hazard, Ky.
Date signed:  16 September 1941
Transcribed by Debbie Tamborski, 11 October 2010