DEATH CERTIFICATE
ANDREW GRIGSBY

Date  07 March 1912
Cert: #  11558 
Name:  Andrew GRIGSBY 
Male, White, Single
Age:  21 days
Place of Death: Voting Precinct #3, Perry Co., KY
Birth Date:  15 Febraury 1912 
Occupation:  None 
Place of Birth:  Kentucky 
Name of Father:  A. J. GRIGSBY 
Birthplace Father:  Kentucky 
Maiden Name of Mother:  Rachel DRAKE 
Birthplace Mother:  Kentucky 
Informant:  Wm. GRIGSBY, Dwarf, Ky. 
Death Date:  07 March 1912 
Cause of Death:  measles no medical attention 
Signed:  (blank)
Burial Place:  Holliday Cemetery 
Date of Burial:  08 March 1912 
Undertaker:  Geo. Smith, Arey, Ky. 
File Date:  01 April 1912
Transcribed by Debbie Tamborski, 02 December 2008