DEATH CERTIFICATE

JASPER GRIGSBY

Date  1930
Deathvol 
Vol:
Cert: # 5944/14790
Name: Jasper Grigsby
Male, White, Infant
Age: 2 mos., 1 day
Place of Death: Upper Ball, Knott Co, KY
Birth Date: Feb 2, 1930
Place of Birth: Upper Ball, Knott Co, KY
Father: Andrew J. Grigsby
Place of Birth:  Knott Co, KY

Mother: Jane B______
Place of Birth:  Perry Co, KY

Informant: Dewey Gayhart, Vest, KY
Death Date: Apr 3 1930
Cause of Death: Not listed
Signed:
Burial Place: Trace Fork, Apr 5 1930
Undertaker: Dan Gipson
File Date: Apr 4 1930

Transcribed by Peggy M. Brock December 2008