Date:  20 August 1954
Cert:  #16285
Place of Death: County: Knott      City or Town: Sassafras Rural
Length of stay (in this place): (blank)
Street Address:  Home
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town: Sassafras      Street Address: Rural
Full Name:  James HAGANS
Date of Death:  20 August 1954
Sex, Color or Race, Marital Status: Male, Colored, Married
Date of Birth:  25 May 1868
Age: 86 years
Usual Occupation: Farmer
Kind of Industry or business: Truck
Birthplace:  Kentucky
Father's Name:  Siman HAGANS
Mother's Maiden Name:  Cindy BRANSON
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Mary Belle HAGANS
Disease or condition directly leading to death:  Nephritis
Interval between onset and death:  (blank)
Due to:  (Hypertensive Heart Disease)
Other significant conditions: Fractured (illegible)
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 25 May 1953 to 15 August 1954, 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:   (blank)
Address:  Whitesburg, Ky.
Signature:  B. C. Back, M.D.
Burial, Cremation or Removal: Burial
Date:  22 August 1954
Name of Cemetery or Crematory: Rowdy Branch Cemetery
Location:  Sassafras, Knott, Ky.
Date received by local registrar: 25 August 1954
Registrar's Signature:  Myrtle Slone
Funeral director & address:  Engle Funeral Home, Wm. Engle, Jr., Hazard, Ky.
Transcribed by Debbie Tamborski, 17 March 2011