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File contributed for use in USGenWeb Archives by:
Dana Brown http://www.genrecords.net/emailregistry/vols/00005.html#0001067
http://www.usgwarchives.net

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1. PLACE OF DEATH
County:  Breckinridge
Vot. Pol.:  Mook
Inc Town:  Mook, Ky
City:  
No.  
St.  
Ward:  
Registration District No.:  5317
Primary Registration District No:  
File No.  596
Registered No:  
2. FULL NAME:  Julia Ann Alice Aldridge
PERSONAL AND STATICAL PARTICULARS
3. SEX:  female
4. COLOR OR RACE:  white
5. SINGLE, MARRIED, WIDOWED, OR DIVORCED:  married
6. DATE OF BIRTH:  Jan 16, 1872
7. AGE  (yr. mo. da) (If less than 1 day, hours or min?):  41 years, 11 months, 29 days
8. OCCUPATION (a.) Trade, profession or particular kind of work:  housekeeper
(b.)  General nature of industry business or establishment which employed:  
9. BIRTHPLACE:  Daviess
10. NAME OF FATHER: Thomas Anderson 
11. BIRTHPLACE OF FATHER:  Kentucky
12. MAIDEN NAME OF MOTHER:  Julia A. A. Anderson
13. BIRTHPLACE OF MOTHER:  Kentucky
14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  S. W. Williams
(Address)  Mook, Ky
15. Filed  Jan 16, 1914
REGISTAR:  M. M. Jarboe
MEDICAL CERTIFICATE OF DEATH
16. DATE OF DEATH:  Jan 16, 1914
17. I HEREBY CERTIFY, That I attended deceased from (date):  Dec 28, 1913 to Jan 16, 1914
That I last saw him/her alive on (date):  Jan 12, 1914
And that death occurred on the date stated above at (time AM/PM):  4 PM
THE CAUSE OF DEATH was as follows:  Tuberculosis
 
(Duration)   Years:     4       Months:      6      Days:  
Contributory:  Embolism
 
(Duration)   Years:            Months:            Days:  5
Signed (M.D.):  J. C. Tucker
Date:  Jan 17, 1914
Address:  McDaniels, Ky
18. LENGTH OF RESIDENCE (For Hospitals, Institutions, Transients, or Recent Residents)
At place of death (yr, mo, da.):  
In the State (yr, mo, da):  
Where was disease contracted,  if not at place of death?  
Former or usual residence:  
19. PLACE OF BURIAL OR REMOVAL:  [blank]
DATE OF BURIAL:  [blank]
20. UNDERTAKER:  [blank]
ADDRESS:  
 

ADDITIONAL COMMENTS/NOTES:
 



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Copyright.  All rights reserved.
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