Montgomery County, Kentucky death certificate of Stephen M. 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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KENTUCKY DEATH CERTIFICATE
1. Place of death
  a. County: Montgomery
  b. Voter pct.: fourth ward
  c. Inc. town: nothing listed
  d. City: Mt. Sterling
  e. Registration district number: 1070
  f. Primary registration district number: 2425
  g. File Number: 29051
  h. Registration number: 116
2. Full name: Stephen M. Warner
  a. Residence: West Sycamore  Fourth ward
3. Sex: male
4. Color or race: white
5. Single married widowed or divorced: widowed
  a. If married, widowed or divorced list husband or wife: Mary C. Warner
6. Date of birth: July 4, 1835
7. Age 92 years 5 months 14 days
8. Occupation of deceased: retired farmer
9. Birthplace: Kentucky
10. Name of father: Jonas Warner
11. Birthplace of father: Kentucky
12. Name of mother: Clayton (did not list first name should be Elizabeth)
13. Birthplace of mother: Kentucky
14. Informant: George R. Warner of Mt Sterling, Kentucky
15. Filed:December 19, 1927 Registrar: Mrs. G. B. Seuff
16. Date of death: December 18, 1927
17. I hereby certify, that I attended deceased from December 18, 1927 to 
December 18, 1927, that I last saw him dead December 18, 1927, and that 
death occurred on the date stated above at 6:00 PM.  The cause of death was 
as follows: Must have been heart failure.  Never saw him alive.
Patient was dead when I called.
18. Where was disease contracted: nothing listed
18a. Signed by: (can't read) December 23, 1927 of Mt. Sterling, Kentucky
19. Burial or removal: burial
19a. Place: Mt. Sterling, Kentucky
19b. Date of burial: 12-20-192
20. Undertaker: Eastin and Harris of Mt. Sterling, Kentucky