Bath County, Kentucky death certificate of Alice Ann 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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1. Place of death
  a. County: Bath
  b. Voter pct.: Owingsville
  c. Inc. town: nothing listed
  d. City: nothing listed
  e. Registration district number: 51
  f. Primary registration district number: 4078
  g. File number: 28813
  h. Registered number: 2498
2. Full name: Alice Warner
3. Sex: female
4. Color or race: white
5. Single, married, widowed or divorced: single
6. Date of birth: October 1877 (wrong date it should be December 12, 1871)
7. Age 65 years 10 months 10 days
8, 9, 10 and 11: nothing listed
12. Birthplace: Kentucky
13. Father: Warren Warner
14. Birthplace of father: Kentucky
15. Maiden name of mother: Martha Ulery
16. Birthplace: Kentucky
17. Informant: Espy Warner of Owingsville, Kentucky
18. Burial: Old Virginia Cemetery November 4, 1936
19. Undertaker: E.L. Barnes of Owingsville, Kentucky
20. Filed: November 15, 1936     Registrar: Mary E. Gudgell Dotson
21. Date of death: November 2, 1936
22. 22. I hereby certify, That I attended deceased from October 1, 1936 to 
November 2, 1936.  I last saw her alive on November 1, 1936.  Death is said 
to have occurred on the date stated above at 7:00 PM.  The principal cause 
of death and related causes of importance in order of onset were as follows: 
hypertensive heart disease.
23. If death was due to external causes (violence) fill in also the
following: nothing listed
24a. Was disease or injury in any way related to occupation of deceased: no
24b. Signed: D.C. Dotson M.D. of Owingsville, Kentucky