Date ~ 07 July 1954
Cert:  # 16301
Place of Death: County:     Knott
City or Town: Red Fox
Length of stay in hospital or community: (blank)
Name of Hospital or Institution: 
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town:  Red Fox
Full Name: Gilbert Shell
Date of Death:  07 July 1954
Sex, Color or Race, Marital Status: male, white, married
Date of Birth:  1894
Age: 58
Usual Occupation: Labor
Kind of Industry or business: Band? Mill
Birthplace:  Leslie County Ky
Father's Name:  John Shell
Mother's Maiden Name: Margarett Coots
Was deceased in ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Amberose Shell
Disease or condition directly leading to death:  Suicide
Interval between onset and death: 
Due to: Self administering of poisoning (Strychnine)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (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 to (blank), that I last saw the deceased alive on , and that death occurred on the date stated above at  from the causes and on the date stated above.
Date signed: 
Address: 
Signature:  John Everage ~ Knott Co
Burial, Cremation or Removal:  Burial
Date:  09 July 1954
Name of Cemetery or Crematory: Brashear Cemetery
Location: Viper, Ky
Date received by local registrar: 29 Jul 1954
Registrar's Signature: Myrtle Slone
Funeral director and address: John Everage ~ Hindman, ky
Transcribed by Gloria Marcum ~ 13 March 2010