Franklin County, Kentuckt death certificate of Lou Etna Warner Cline

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Date: Sun, 26 Jan 2003
Darrell Warner
From: http://www.genrecords.net/emailregistry/vols/00001.html#0000008
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FRANKLIN COUNTY, KENTUCKY DEATH CERTIFICATE
File number: 116 76 23482
Registrar's number: 208
Registration district number: 535
Primary registration district number: 2180
1. Name
  a. First: Lou
  b. Middle: Etna
  c. Last: Cline
2. Sex: female
3. Date of death: October 2, 1976
4. Race: white
5. Age last birthday
  a. Years: 79
  b. Months & days: nothing listed
  c. Hours & minutes: nothing listed
6. Date of birth: June 7, 1897
7. Place of death
  a. County of death: Franklin
  b. City, town or location of death: Frankfort
  c. Inside city limits: yes
  d. Place of death: home  304 Noel Ave.
8. State of birth: Kentucky
9. Citizen of what country: United States of America
10. Married, never married, widowed or divorced: widowed
11. Surviving spouse (if wife give maiden name): nothing listed
12. Social security number: 407-36-5220
13a. Usual occupation (give kind of work done during most of working life, 
even if retired): retired
13b. Kind of business or industry: Union Underwear Company
14. Residence
  a. State Kentucky
  b. County: Franklin
  c. City, town or location: Frankfort
  d. Inside city limits: yes
  e. Street and number: 304 Noel Ave.
15. Father: unknown (should show Andrew Warner)
16. Mother: unknown (should show Elizabeth Reynolds)
17. Informant
  a. Name: John S. Cline
  b. Address: 800 Leawood Drive, Frankfort, Kentucky 40601
18. Death was caused by
  a. Immediate cause: cerebral hemorrhage
  b. Due to or as a consequence of: nothing listed
  c. Due to or as a consequence of : nothing listed
  d: Other significant conditions: diabetes mellitus
19a. Autopsy performed: no
19b. If yes were findings considered in determining cause of death: nothing 
listed
20a. Accident, suicide, homicide or undetermined: nothing listed
20b. Date of injury: nothing listed
20c. Hour: nothing listed
20d. How injury occurred: nothing listed
20e. Injury at work: nothing listed
20f. Place of injury: nothing listed
20g. Location: nothing listed
21. Certification physician: I attended the deceased from 10-16-1964 to 1
0-2-1976 and last saw her alive on (nothing listed) I did / did not view 
the body after death (nothing listed.)  Death occurred at 1:00 AM
22. Certification of medical examiner or coroner: nothing listed
23. Certifier: Carl Shroat MD
24a. Burial , cremation or removal: burial
  b. Cemetery or crematory: Sunset Memorial Gardens
  c. Location: Woodford County, Kentucky
  d. Date of burial:  10-4-1976
25a. Funeral director: Harrod Brothers of Frankfort, Kentucky
25b. Name of embalmer: Michael L. Harrod licence #3933
26a. Registrar: Mary Lu Collins
26b. Date received by local registrar: 10-12-1976

Death certificate was filled out by her Grandson who did not know the 
information on parents.