DEATH CERTIFICATE

SAMPSON GRIGSBY

Date  17 December 1931
Cert: #  Duplicate 30076     Original 30075
Name:  Sampson GRIGSBY
Place of Death: Voting Pct. , Knott Co., KY
Residence:  Cordia, Ky.
Male, White, Married
Husband or Wife of:  Marthia GRIGSBY
Birth Date:  13 November 1872
Age: 59 years
Occupation:  Farming
Place of Birth: Ky.
Name of Father:  Gabe GRIGSBY
Birthplace Father:  Ky.
Maiden Name of Mother:  Silvaney EVRIDGE
Birthplace Mother:  Ky.
Informant:  Joe GAYHART,  Cordia, Ky.
Death Date:  17 December 1931
Cause of Death:  Tifoid fever [sic]
Signed: Dr. Collins, M.D.
Burial Place:  Gayhart Cem.
Date of Burial:  19 December 1931
Undertaker:  (blank)
File Date:  (blank)
Transcribed by Debbie Tamborski, 25 June 2009