Date:  25 June 1952
Cert:  26318 
Place of Death: County: Knott      City or Town: Cordia, Ky.
Length of stay (in this place): (blank)
Street address or location:  Home
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town: Cordia, Kentucky  Street Address: Cordia, Kentucky
Full Name:  William GRIGSBY
Date of Death:  25 June 1952
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  09 February 1862
Age:  90 years, 04 months, 16 days
Usual Occupation:  Farmer
Kind of Industry or business: Farm
Birthplace:  Kentucky
Father's Name:  Thomas GRIGSBY
Mother's Maiden Name:  Kathlene GAYHEART
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Martha GRISBY
Disease or condition directly leading to death: Chronic Prostatitis
Interval between onset and death:  (blank)
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  (blank)
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 (blank) to (blank), that I last saw the deceased alive on (blank), and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  30 June 1952
Address:  Hazard, Ky.
Signature:  S. M. Richie, M.D.
Burial, Cremation or Removal:  Burial
Date:  27 June 1952
Name of Cemetery or Crematory:  Coane Grigsby
Location:  Cordia, Knott, Ky.
Date received by local registrar: 14 July 1952, 10 December 1952 received final information
Registrar's Signature:  Rose B. Craft
Funeral director & address:  Engle Funeral Home, Wm. Engle, Jr., Hazard, Ky. 
Transcribed by Debbie Tamborski, 24 January 2011