Date:  06 September 1955
Cert:  #18751
Place of Death: County: Knott      City or Town: Mallie - Rural
Length of stay (in this place): Life
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town: Mallie - Rural     Street Address: (blank)
Full Name:  Jasper HOWARD
Date of Death:  06 September 1955
Sex, Color or Race, Marital Status:  Male, White, Married
Date of Birth:  18 March 1892
Age: 63 years
Usual Occupation:  (blank)
Kind of Industry or business: Farmer
Birthplace:  Knott Co., Ky.
Father's Name:  Bill HOWARD
Mother's Maiden Name:  Sarah MAGGARD
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Della HOWARD (wife)
Disease or condition directly leading to death: Chronic Gastritis
Interval between onset and death:  15 years
Due to:  gastric ulcer & partial gastrectomy
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 April 1955 to 04 September 1955, that I last saw the deceased alive on 04 September 1955, and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  12 September 1955
Address:  Whitesburg, Ky.
Signature:  Carl Pigman, M.D.
Burial, Cremation or Removal: Burial
Date:  08 September 1955 
Name of Cemetery or Crematory:  Howard Cemetery
Location:  Mallie, Ky.
Date received by local registrar: 19 September 1955
Registrar's Signature: Myrtle Slone
Funeral director & address:  John Everage, Mgr.
Transcribed by Debbie Tamborski, 19 June 2011