Date:  06 January 1949
Cert:  05623 
Place of Death: County: Knott  City or Town: Cordia, Ky. Rural
Length of stay (in this place): (blank)
Street address or location:  On Lotts Creek
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Cordia Rural    If rural give precinct:  On Lotts Creek
Full Name:  Charles GRIGSBY
Date of Death:  06 January 1949
Sex, Color or Race, Marital Status: Male, White, Widowed
Date of Birth:  12 June 1877
Age:  71 years
Usual Occupation:  Farmer
Kind of Industry or business: Farming
Birthplace:  Knott Co., Ky.
Father's Name:  Goebel GRIGSBY
Mother's Maiden Name:  Sylvania EVERIDGE
Was deceased ever in armed forces: NO
Social Security No.: (blank)
Informant:  Joe GRIGSBY
Disease/condition directly leading to death: Cerebral Hemorrhage
Interval between onset and death:  06 days
Due to:  Hypertension
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 02 January 1949 to 05 January 1949, that I last saw the deceased alive on 05 January 1949, and that death occurred at 9:30 a.m., from the causes and on the date stated above.
Date signed:  28 February 1949
Address:  Hazard, Ky.
Signature:  S. M. Richie, M.D.
Burial, Cremation or Removal:  Burial
Date:  08 January 1949
Name of Cemetery or Crematory:  Englewood Cem.
Location:  Hazard, Ky.
Date received by local registrar:  01 March 1949
Registrar's Signature:  Rose B. Craft
Funeral director & address:  (blank)
Transcribed by Debbie Tamborski, 04 January 2011