BATH COUNTY, KENTUCKY DEATH CERTIFICATE OF 
MARY WARNER KARRICK
File number: 116 65 9416
Registrar's number: 17
Registration district number: 50
Primary registration district number: 2025
1. Place of death
  a. County: Bath
  b. City or town: Owingsville
  c. Length of stay in this place: nothing listed
  d. Full name of hospital or institution (if not hospital or institution give street address or location): Smoot Drive
2. Usual residence
  a. State: Kentucky
  b. County: Bath
  c. City or town: Owingsville
  d. Street address: Sunset Drive
  e. Is residence inside city limits: no
  f. Is residence on a farm: yes
3. Name of deceased
  a. First: Mary
  b. Middle: Warner (this is her maiden name)
  c. Last: Karrick
4. Date of death: March 21, 1965
5. Sex: female
6. Color or race: white
7. Married, never married, widowed or divorced: widow
8. Date of birth: October 1, 1879
9. Age: 85
10a. Usual occupation: housewife
10b. Kind of business or industry: nothing listed
11. Birthplace: Kentucky
12. Citizen of what country: USA
13. Fathers name: Travis Warner
14. Mothers maiden name: Lucinda Walton
15. Was deceased ever in U.S. Armed Forces: no
16. Social security number: nothing listed
17. Informant: Luticia Karrick
18. Cause of death
  a. Immediate cause: myocardial infarction
  b. Due to:  coronary heart disease
  c. Due to: nothing listed
  d. Other significant conditions contributing to death but not related 
to the terminal disease condition given in part a: acute tonsillitis
19. Was autopsy performed: no
20. Accident, suicide or homicide: nothing listed
21. Describe how injury occurred: nothing listed
22. I hereby certify that I attended the deceased from 2-22-1964 to 
3-21-1965, that I last saw the deceased alive on 3-21-1965, and that 
death occurred at 4:00 PM., from the causes and on the date stated above
23a. Date signed: March 22, 1965
23b. Address: Owingsville
23c. Signature: Robert Littles (best guess, can't read)
24a. Burial, cremation or removal: burial
24b. Date: 3-24-1965
24c. Name of cemetery or crematory: Dickerson Cemetery
24d. Location: Salt Lick, Kentucky
25a. Date received by local registrar: 3-24-1965
25b. Name of registrar: Lena R. Brooks
26. Funeral director: Richardson of Owingsville, Kentucky

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Date: Sun, 26 Jan 2003
From: <Darrell Warner> 
http://www.genrecords.net/emailregistry/vols/00001.html#0000008
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