Jefferson County, Kentucky death certificate of Elizabeth Bessie Warner Jones

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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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KENTUCKY DEATH CERTIFICATE
File number: 116 64 1154
Registrar's number: 1019
Registration district number: 755
Primary registration district number: 2278
1.Place of death
   a. County: Jefferson
   b. City or town: Louisville
   c. Length of stay in this place: 09
   d. Full name of hospital or institution: St. Anthony Hospital
2. Usual residence
   a. State: Kentucky
   b. County: Jefferson
   c. City or town: Eastwood
   d. Street address: not listed
3. Name of deceased
   a. First: Bessie
   b. Middle: Warner
   c. Last: Jones
4. Date of death: January 8, 1964
5. Sex: female
6. Color or race: white
7. Married, never married, widowed or divorced: married
8. Date of birth: August 25, 1892
9. Age: 71
10a. Usual occupation: housewife
10b. Kind of business or industry: nothing listed
11. Birthplace: Kentucky
12. Citizen of what country: USA
13. Father's name: Andy Warner
14. Mother's maiden name: nothing listed
15. Was deceased ever in U.S. Armed Forces: no
16. Social security number: nothing listed
17. Informant: Mr. A. T. Jones
18. Cause of death:
   a. Immediate cause: Liver (primary)
   b. Due to: nothing listed
   c. Due to: nothing listed
19. Was autopsy performed: not marked
20. Accident, suicide, or homicide: nothing marked
21a. Describe how injury occurred: nothing listed
21b. Time of injury: nothing listed
22. I hereby certify that I attended the deceased from December 24, 1962 to January 8, 1964 that I last saw the deceased alive January 7, 1964 and that death occurred at 6:10 AM from the causes and on the date stated above.
23a. Date signed: January 10, 1964
23b. Address: Middelton, Kentucky
23c. Signature: Dr. (can't read name) MD
24a. Burial, cremation, removal: burial
24b. Date: January 9, 1964
24c. Name of cemetery or crematory: Louisville Memorial Gardens East
24d. Location: Crestwood, Kentucky
25a. Date received by local registrar: January 15, 1964
25b. Registrar's signature: Ronald C. Kelsay
26. Funeral director: M. A. Stoess & Sons of Crestwood, Kentucky