I've just made out the full story. How sad.
I hereby certify, that I attended deceased from
____________ 19__ to ____________ 19__
that I last saw him ['alive' is crossed out] dead on Jan. 18 1911
and that death occurred, on the date stated above, at 3:45
P.M. The cause of death was as follows:
By an explosion accidently of powder, placed
for shot in mine, and exploding
before deceased could get out of danger
causing concussion, and fracture of skull.