Montgomery County, Kentucky death certificate of Margaret Holland Henderson

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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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MONTGOMERY COUNTY, KENTUCKY DEATH CERTIFICATE
1. Place of death:
  a. County: Montgomery
  b. Voter precinct: can't read
  c. Inc. town: nothing listed
  d. City: Mt. Sterling
  e. Registration district: 6755
  f. Primary registration district: nothing listed
  g. File number: 5136 369
  h. Registered number: 6755
2. Full name: Mrs. Margret Henderson
  a. residence: nothing listed
3.Sex: female
4. Color or race: white
5. Single, married, widowed or divorced: widowed
6. Date of birth: January 10, 1858
7. Age: 72 years
8. Trade, profession or particular kind of work done: housekeeper
9. Industry or business in which work was done: nothing listed
10. Date deceased last worked at this occupation: nothing listed
11. Total time spent in this occupation: nothing listed
12. Birthplace: Kentucky
13. Father's name: George Holland
14. Father's birthplace: Kentucky
15. Mother's maiden name: Harriett Lewis
16. Mother's birthplace: Kentucky
17. Informant: Roy Henderson of Mt. Sterling
18. Place of burial: Gillard Cemetery  date: 4-28-1930
19. Undertaker: A. L. Mitchell of Mt. Sterling
20. Date filed: 2-20-1931   Registrar: can't read name
21. Date of death: April 25, 1930
22. I hereby certify, That I attended deceased from April 19, 1930 to 
April 24, 1930, I last saw her alive on April 24, 1930, death is said 
to have occurred on the date stated above, at 5:00 PM.  The principal 
cause of death and related causes of importance in order of onset were 
as follows: chronic myocarditis & mitral insufficieus.  Contributory 
causes of importance but not related to principal cause: chronic colitis.  
No autopsy was performed.
23. If death was due to external causes (violence) fill in also the 
following: nothing listed
24a. Was disease or injury in any way related to occupation of deceased: no
24b. Signed: J. M. Knox MD of Mt. Sterling