************************************************************************ Copyright. All rights reserved. http://www.usgwarchives.net/copyright.htm http://www.usgwarchives.net/ky/kyfiles.html ************************************************************************ 1. PLACE OF DEATH County: BRECKINRIDTGE Vot. Pol.: BEWLEYVILLE Inc Town: City: No. St. Ward: Registration District No.: 5817 Primary Registration District No: File No. 587 Registered No: 2 2. FULL NAME: ALLGOOD, JOEL PERSONAL AND STATICAL PARTICULARS 3. SEX: MALE 4. COLOR OR RACE: WHITE 5. SINGLE, MARRIED, WIDOWED, OR DIVORCED: MARRIED 6. DATE OF BIRTH: APR 1, 1880 7. AGE (yr. mo. da) (If less than 1 day, hours or min?): 32 / 9 / 22 8. OCCUPATION (a.) Trade, profession or particular kind of work: FARM WORK (b.) General nature of industry business or establishment which employed: FARMER 9. BIRTHPLACE: BURAS, BRECKINRIDGE, KY 10. NAME OF FATHER: DAVID ALLGOOD 11. BIRTHPLACE OF FATHER: CUSTER, BRECKINRIDGE, KY 12. MAIDEN NAME OF MOTHER: 13. BIRTHPLACE OF MOTHER: BURAS, BRECKINRIDGE, KY 14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE (Informant) LEWIS ALLGOOD (Address) GARFIELD 15. Filed JAN 25, 1913 REGISTAR: JOHN COMPTON MEDICAL CERTIFICATE OF DEATH 16. DATE OF DEATH: JAN 22, 1913 17. I HEREBY CERTIFY, That I attended deceased from (date): OCT 9, 1912 to JAN 22, 1913 That I last saw him/her alive on (date): JAN 22, 1913 And that death occurred on the date stated above at (time AM/PM): THE CAUSE OF DEATH was as follows: CHRONIC BRONCHAL CATARCH (Duration) Years: Months: Days: 6 Contributory: CHRONIC CATARCH OF STOMACH (Duration) Years: Months: Days: Signed (M.D.): J.A. SANDBACH Date: JAN 22, 1913 Address: 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: GARFIELD DATE OF BURIAL: JAN 23, 1913 20. UNDERTAKER: IKE R- - - - - ADDRESS: GARFIELD ADDITIONAL COMMENTS/NOTES: ************************************************************************ File contributed for use in USGenWeb Archives by: Dana Brown http://www.genrecords.net/emailregistry/vols/00005.html#0001067 http://www.usgwarchives.net ************************************************************************