Nicholas County, Kentucky death certificate of Clark 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 RECORD
File number: 116 54 10071
Registrar's number: 25
Registration district number: 1119
Primary registration district number: 7581
1. Place of death
  a. County: Nicholas
  b. City or town: Rural Carlisle
  c. Length of stay: nothing listed
  d. Full name of hospital or institution: nothing listed
2. Usual residence
  a. State: Kentucky
  b. County: Bath (should be Nicholas)
  c. City or town: Rural Carlisle
  d. Street address: RR #1
3. Name of deceased: Clark Sorrell
4. Date of death: May 7, 1954
5. Sex: male
6. Color or race: white
7. Married, never married, widowed or divorced: married
8. Date of birth: June 9, 1889
9. Age: 64 years
10a. Usual occupation: Farmer-tennant
10b. Kind of business or industry: nothing listed
11. Birthplace: Bath County, Kentucky
12. Citizen of what country: U. S. A.
13. Father's name: George Sorrell
14. Mother's maiden name: Susan Warner (first name is Amanda)
15. Was deceased ever in U. S. Armed Forces: nothing listed
16. Social security number: nothing listed
17. Informant: Bascom Sorrell
18. Cause of death: coronary sclerosis
19. Date of operation: nothing listed
20. Was autopsy performed: nothing listed
21. Accident, suicide or homicide: nothing listed
22. I hereby certify that I attended the deceased from (nothing listed) 
to (nothing listed), that I last saw the deceased alive on (nothing listed) 
and that the death occurred at 5:15 PM, from the causes and on the date 
stated above.
23a. Date signed: 5-8-1954
23b. Address: Paris, Kentucky
23c. Signature: can't read
24a. Burial, cremation or removal: burial
24b. Date of burial: May 9, 1954
24c. Name of Cemetery: Carlisle Cemetery
24d. Location of cemetery: Carlisle, Kentucky
25a. Date received by local registrar: 5-9-1954
25b. Registrar's signature: Maude A. Seamands
26. Funeral Director: McClure and Richardson of Owingsville, Kentucky