Date:    01 November 1946
Cert:    18415 
Place of Death: County: Knott   City or Town:  Amburgey
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town:  Amburgey 
Full Name:  Jasper MULLINS 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Male, White, Widowed
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:    09 June 1866
Age:  80 years, 04 months, 22 days
Birthplace:  Knott  
Occupation:  Farmer 
Industry or business:  (blank)
Father Name:  Valantine MULLINS 
Father Birthplace:  Va. 
Mother Maiden Name:  Metilda WATTS    
Mother Birthplace:   Knott Co. 
Informant:  Dewey MULLINS, Amburgey, Ky. 
Burial Place:   Mullins Cem. 
Date:  03 November 1946 
Signature of funeral director:  Engle's, Hazard, Ky.
Date received by local registrar: 30 August 1946 
Registrar's Signature:  Rose B. Craft
Date of Death:  01 November 1946 
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death:  Pneumonia 
Duration: (blank)
Due to:  Age
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  J. W. Duke, M.D., Hindman, Ky.
Date signed:  30 August 1947 
Transcribed by Debbie Tamborski, 14 December 2010