Montgomery County, Kentucky death certificate of George Jackson Warner

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Date: Sun, 26 Jan 2003
From: <Darrell Warner> 
http://www.genrecords.net/emailregistry/vols/00001.html#0000008
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MONTGOMERY COUNTY, KENTUCKY DEATH CERTIFICATE OF
GEORGE JACKSON WARNER
Registration district number: 1070
Primary registration district number: 2425
File number: 116 83 31586
Registrar's number: 159
1. Deceased name: George Jackson Warner
2. Sex: male
3. Date of death: November 8, 1983
4. Race: white
5. Age: 79
6. Date of birth: May 6, 1904
7. Place of death
County: Montgomer
City or town: Mt. Sterling
Inside city limits: yes
Hospital or other institution: Mary Chiles Hospital
8. State of birth: Kentucky
9. Citizen of what country: USA
10. Married, never married, wifowed or divorced: married
11. Surviving spouse: Ruby Ring
12. Social security number: 407-18-9525
13. Usual occupation: Matinance at appliance factory
14. Residence
State: Kentucky
County: Montgomery
City or town: Mt. Sterling
Inside city limits: yes
Street and number: 995 Shiela Court
15. Fathers name: William Warner
16. Mothers maiden name: Prudie Jackson
17. Informant: Mrs. Ruby Warner 995 Shiela Court, Mt. Sterling, Kentucky 
40353
18. Cause of death: Myocardial infarction, previous 
19. Other significant conditions: MI 7 months earlier
Autopsy: no
Was case referred to Medical Examiner or Coroner: no
20. Accident, suicide or homicide: no
21. Certification physcian: I attended the deceased from 6-12-1981 to 
11-8-1983 and last saw him alive on 11-8-1983.  I did not view the body 
after death.  Death occured at the place on the date at 10:15 pm
22. Certification Medical Examiner or Coroner: The descedant was pronounced 
dead 11-8-1983 10:15 pm
23. Cerifier: Edward Roberts Jr. MD
24. Burial: Warner Cemetery, Owingsville, Kentucky 11-11-1983
25. Funeral Director: Michael Gray, Owingsville, Kentucky Keal-Bromagen-Gray Funeral Home
26. Registrar's signature: Shirley, J. Anderson 12-6-1983