DEATH CERTIFICATE

ANDREW JACKSON GRIGSBY

Date  19 February 1923
Cert: #  11578 
Name:  Andrew Jackson GRIGSBY 
Place of Death: Voting Pct. Upper Ball, Knott Co., KY
Male, White, Married
Birth Date:  14 May 1872 
Age:  50 years, 09 months, 05 days
Occupation:  Retired Soldier
Place of Birth:  Perry Co., Ky.
Name of Father:  John L. GRIGSBY 
Birthplace Father:  Perry Co., Ky. 
Maiden Name of Mother:  Betty GAYHART
Birthplace Mother:  Perry Co., Ky. 
Informant:  Elijah GRIGSBY, Vest, Ky.
Death Date:  19 February 1923 
Cause of Death:  Tuberculosis 
Signed:  (blank)
Burial Place:  Grigsby Cemetery 
Date of Burial:  20 February 1923 
Undertaker:  Dan Gibson, Vest, Ky. 
File Date:  20 February 1923 
Transcribed by Debbie Tamborski, 05 January 2009