Date:  11 March 1950
Cert:  05580 
Place of Death: County: Knott      City or Town: Lackey
Length of stay (in this place): (blank)
Name of Hospital or Institution:  Stumbo Memorial Hosp.
Usual Residence of Deceased: State: Ky.     County:  Floyd
City or Town:  Hueysville    Street Address: Rural
Full Name: Harrison VANDERPOOL
Date of Death:  11 March 1950
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 11 March 1895
Age:  55 years
Usual Occupation: Farmer
Kind of Industry or business: (illegible)
Birthplace:  Kentucky
Father's Name:  (illegible) VANDERPOOL
Mother's Maiden Name:  Margaret SHEPHERD
Was deceased ever in armed forces: no
Social Security No.: 404-20-2710
Informant:  Charles VANDERPOOL
Disease or condition directly leading to death:  Hemorrhage -- ca. Suicidal attempt location at neck & wrist
Interval between onset and death:  About 07 hours
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: None
Major findings of operation: (blank)
Autopsy:  (blank)
Accident, suicide, or homicide: Suicide
Place of injury: home
City or Town, County, State: Hueysville, Floyd, Ky.
Time of Injury: (blank)  11 March 1950
Injury occurred at work: Not while at work
How did injury occur: Self inflicted
I hereby certify that I attended deceased from 11 March 1950 to (blank), that I last saw the deceased alive on 11 March 1950, and that death occurred at 10:40 a.m., from the causes and on the date stated above.
Date signed:  (illegible)
Address:  Lackey, Ky.
Signature:  John M. Byrne, M.D. 
Burial, Cremation or Removal:  Burial
Date:  13 March 1950
Name of Cemetery or Crematory:  Family Cem.
Location:  Hueysville, Floyd, Ky.
Date received by local registrar:  17 March 1950
Registrar's Signature:  Rose B. Craft
Funeral director & address:  John C. Hall, Martin, Ky.
Transcribed by Debbie Tamborski, 17 January 2011