DEATH CERTIFICATE

GREEN CAMPBELL

Commonwealth of Kentucky
Bureau of Vital Statistic
Death Certificate File No.: 21269
Place of Death: Knott County
City or Town: Lackey, Knott Co., KY
Usual Place of Residence: Dema, Knott Co., KY
Name: GREEN CAMPBELL
If Veteran, What War: WW #1
Male, White, Married
Name of Wife: DOVIE CAMPBELL
Age of Wife: 54
Birth Date of Deceased: Sept 9, 1894
Age: 53 yrs, 10 mos, 5 days
Birthplace of Deceased: Floyd Co., KY
Occupation: Gas? Pumper 2
Name of Father: JOHN CAMPBELL
Birthplace of Father: Perry Co., KY
Name of Mother: ROSA PIGMAN
Birthplace of Mother: Knott Co., KY
Date of Death: Aug 14, 1948
Cause of Death: Respiratory depression Due to: Cerebral Hemorrhage
Signed: C.M. Aker, M.D., Lackey, KY
Date Signed: 10-15-1948
Informant: SEYMOUR CAMPBELL, Dema, KY
Burial: Dema, KY
Date of Burial: Aug 16, 1948
Funeral Director: W.? J. Ryan, Martin, KY
Filed: October 27, 1948, Rose B. Craft, Registrar
Submitted by Louise Gaskill