Montgomery County, Kentucky death certificate of William B. Pergram

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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
FILE NUMBER 75 17826
REGISTRATION DISTRICT NUMBER 1070
PRIMARY REGISTRATION DISTRICT NUMBER 2425

1. Deceased name: William B. Pergram
2. Sex: male
3. Date of death: 7-13-1975
4. Race white
5. Age: 93
6. Date of birth: 6-12-1882
7a. County ofdeath: Montgomery
7b. City of death: Mt. Sterling
7c. Inside city limits: yes
7d. Hospital: Mary Chiles Hospital
8. Stae of birth: Kentucky
9. Citizen of what country: U.S.A.
10. Married, never married, widowed or divorced: Widowed
11. Surviving spouse: nothing listed
12. Social security number: none
13. Usual occupation: farmer
14a. Residence state: Kentucky
14b. Residence county: Bath
14c. Residence city or town: Owingsville
14d. Inside city limits: no
14e. Street and number: R R #3
15. Fathers name: George Pergram
16. Mothers maiden name: Mary Warner
17a. Informants name: Mrs. Albert Highley
17b. Informants mailing address: Owingsville, Kentucky RR #3 40360
18. Cause of death: generalized anteriosclerosis - infermities of age
19. Autopsy: no
20. Accident, suicide, homicide or undetermined: no
21. Physcian certification: I attended the deceased from 7-13-64 to 7-13-75 
and last saw him alive on 7-13-75 and did view the body after death.  Death 
occurred at 8 AM
22. Certification- Medical examiner of Coroner: nothing listed
23. Certifier-name: W. H. McKenna M. D. 7-21-1975 Mt. Sterling Clinic, Mt. 
Sterling, Kentucky 40353
24a. Burial, removal or cremation: burial
24b. Cemetery: Upper Salt Lick
24c. Location: Upper Salt Lick, Bath County
24d. Date: 7-14-1975
25a. Funeral director: Fred Keal  Keal Funeral Home
25b. Name of Embalmer: Fred Keal licence number 1911
26a. Registrar: Della Riddell
26b. Date recieved by Local Registrar: 7-22-1975