Fayette County, Kentucky death certificate of Espie Sanford Warner

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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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FAYETTE COUNTY, KENTUCKY DEATH CERTIFICATE
State file number: 64 2463
Registrar's number: 265
Registration district number: 500
Primary registration district number: 2165
1. Place of death
  a. County: Fayette
  b. City or town: Lexington
  c. Length of stay: 5 months 5 days
  d. Full name of hospital or institution: Eastern State Hospital
2. Usual residence
  a. State: Kentucky
  b. County: Montgomery
  c. City or town: Mt. Sterling
  d. Street address: R.F.D. #1
3. Name of deceased: Espie Sanford Warner
4. Date of death: February 14, 1964
5. Sex: male
6. Color or race: white
7. Married, never married, widowed or divorced: married
8. Date of birth: May 11, 1906
9. Age: 57
10a. Usual occupation: Farmer
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: John Warner
14. Mother's maiden name: Flint Piwett
15. Was deceased ever in U. S. Armed forces: no
16. Social security number: 401-24-5519
17. Informant: hospital records
18. Cause of death: lobar pneumonia
19. Was autopsy performed: no
20. Accident, suicide or homicide: nothing listed
21. Describe how accident occurred:  nothing listed
22. I hereby certify that I attended the deceased from September 9, 1964 
to February 14, 1964, that I last saw the deceased alive on February 14, 
1964 and that death occurred at 9:47 AM from the causes and on the date 
stated above.
23a. Date signed: February 14, 1964
23b. Address: Eastern State Hospital
23c. Signature: can't read
24a. Burial, cremation or removal: removal
24b. Date of removal: 2-14-1964 Mitchell & Douglas Funeral Home
24c. Name of cemetery: none listed
24d. Location: Mt. Sterling, Kentucky
25a. Date received by local Registrar: February 27, 1964
25b. Registrar's signature: Florence Crough
26. Funeral director: Mitchell & Douglas Funeral Home of Mt. Sterling, Kentucky