Nicholas County, Kentucky death certificate of Elizabeth Warner Sorrell

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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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NICHOLAS COUNTY, KENTUCKY DEATH CERTIFICATE OF 
ELIZABETH (WARNER) SORRELL
State file number:12297
Registrar's number: 46
Registration district number: 1119
Primary registration district number: 7589
1. Place of death
  a. County: Nicholas
  b. City or town: Carlisle
  c. Name of hospital or institution: nothing listed
  d. Length of stay in hospital or community: nothing listed
2. Usual residence of deceased
  a. State: Kentucky
  b. County: Nicholas
  c. City or town: nothing listed
  d. Street number: nothing listed
  e. If foreign born how long in USA: nothing listed
3a. Full name: Elizabeth W. Sorrell
3b. If veteran name war: nothing listed
3c. Social security number: nothing listed
4. Sex: female
5. Color or race: white
6a. Single, widowed, married or divorced: widowed
6b. Name of husband or wife: nothing listed
6c. Age of husband or wife if alive: nothing listed
7. Birth date of deceased: March 8, 1856
8. Age 86 years 2 months 20 days
9. Birthplace: Kentucky
10. Usual occupation: housewife
11. Industry or business: nothing listed
12. Father's name: Jacob C. Warner
13. Father's birthplace: Kentucky
14. Mother's maiden name: Elizabeth Shultz
15. Mother's birthplace: Kentucky
16. Informant: Mrs. Bush Wilson of Carlisle, Kentucky
17. Burial
  a. Place: Warner Graveyard
  b. Date: May 30, 1942
18a. Signature of funeral director: Shrout, Pifer and Shrout
18b. Address: Owingsville, Kentucky
19a. Date received by local registrar: 6-2-1942
19b. Registrar's signature: K. Handy Mast
20. Date of death: May 28, 1942
21. I hereby certify that I attended the deceased from 5-28-1942 to 
5-28-1942, that I last saw her alive on 5-28-1942, and that death 
occurred on the date stated above at 9:30 PM.  Immediate cause of death 
lobar pneumonia.
22. If death was due to external causes, fill out the following: nothing 
listed
23. Signature: B.F. Reynolds MD of Carlisle, Kentucky