DEATH CERTIFICATE

JASPER GRIGSBY

Date  03 April 1930
Cert: #  14790
Name:  Jasper GRIGSBY
Place of Death: Voting Pct. Upper Ball, Knott Co., KY
Female, White, Infant
Husband or Wife of:  no
Birth Date:  02 February 1930
Age: 02 months, 01 days 
Occupation:  None
Place of Birth: (blank)
Name of Father:  Andrew J. GRIGSBY
Birthplace Father:  Knott Co., Ky.
Maiden Name of Mother:  Jane BREWER
Birthplace Mother:  Perry Co., Ky.
Informant:  03 April 1930
Death Date:  Dewey GAYHART, Vest, Ky.
Cause of Death:  No physician in attendance
Signed: (blank)
Burial Place:  Trace Fork
Date of Burial:  05 April 1930
Undertaker:  Dan Gipson, Vest, Ky.
File Date:  04 April 1930
Transcribed by Debbie Tamborski, 23 June 2009