|
DEATH
CERTIFICATE
EARL GRIGSBY
Date 16 November 1929
Cert: 02944
Place of Death: Voting Pct: #1 Jackson, Breathitt Co.,
Ky.
Full Name: Earl GRIGSBY
Sex, Color or Race, Marital Status: Male, White, Single
Date of Birth: about 31 May 1909
Age: 20 years, 05 months, 16 days
Occupation: Miner
Birthplace: Knott Co., Ky.
Name of Father: Dave GRIGSBY
Birthplace Father: Knott Co., Ky.
Maiden name of Mother: Cela FUGATE
Birthplace Mother: Breathitt Co., Ky.
Informant/Address: Dave GRIGSBY, Wolverine, Ky.
Filed: 06 December 1929
Registrar: Irene E. Hoge
Death Date: 16 November 1929
I hereby certify that I attended deceased from 27 October
1929, to 16 November 1929, that I last saw him alive on 15
November 1929, and that death occurred, on the date stated
above at 9 a.m.
Cause of Death: Meningitis (Traumatic)
coal mine injury - accident
Duration: 01 months, 08 days
Contributory: Injury to skull
Signed/Address: Wilgus Back, Jackson, Ky.
Place of Burial or Removal: Kings Branch
Date of Burial: 18 November 1929
Undertaker/Address: (illegible) Ray, Jackson, Ky.
Transcribed by Debbie Tamborski, 27 March 2010 |
|