Date:  20 January 1956
Cert:  #56-1252
Place of Death: County: Knott      City or Town: Vest - Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.      County:  Knott
City or Town: Vest - Rural     Street Address: (blank)
Full Name:  Harve GRIGSBY
Date of Death:  20 January 1956
Sex, Color or Race, Marital Status:  Male, White, Widowed
Date of Birth:  31 March 1857
Age:  98 years
Usual Occupation:  Farmer
Kind of Industry or business: (blank)
Birthplace:  Knott Co., Ky.
Father's Name:  Billy GRIGSBY
Mother's Maiden Name:  Jeanie OWENS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Elzie TERRY
Disease or condition directly leading to death: Senility and pneumonia
Interval between onset and death:  (blank)
Due to:  (blank)
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 10 October 1955 to 20 January 1956, that I last saw the deceased alive on 10 October 1955, and that death occurred at 12:30 p.m., from the causes and on the date stated above.
Date signed:  25 January 1956
Address:  Hindman, Ky.
Signature:   M. F. Kelley, M.D.
Burial, Cremation or Removal: Burial
Date:  21 January 1956
Name of Cemetery or Crematory:  Fulton Grigsby
Location:  Vest, Ky.
Date received by local registrar: 25 January 1956
Registrar's Signature: Myrtle Slone
Funeral director & address:  John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 25 March 2012