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1.	PLACE OF DEATH
County:  BRECKINRIDGE
Vot. Pol.:  WEBSTER, KY
Inc Town:  
City:  
No.  
St.  
Ward:  3
Registration District No.: 5311 (130 crossed out)  
Primary Registration District No:  (5303 crossed out)
File No.  21021
Registered No:  
2.	FULL NAME: CLINT ARMES 
PERSONAL AND STATICAL PARTICULARS
3.	SEX:  MALE
4.	COLOR OR RACE: WHITE 
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED: MARRIED 
6.	DATE OF BIRTH:  DEC 6, 1862
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?): 5OYRS 7MOS 29DS 
8.	OCCUPATION (a.) Trade, profession or particular kind of work:  FARMING
(b.)  General nature of industry business or establishment which employed:  
9.	BIRTHPLACE:  KENTUCKY
10.	NAME OF FATHER:  MC CAJAH ARMES
11.	BIRTHPLACE OF FATHER:  KENTUCKY
12.	MAIDEN NAME OF MOTHER:  ELIZABETH ROBBINS
13.	BIRTHPLACE OF MOTHER:  KENTUCKY
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  WM NORTON
(Address)  HARDINSBURG, KY
15.	Filed  AUG 4, 1913
REGISTAR:  (WB Lennon)
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH:  AUG 4, 1913
17.	I HEREBY CERTIFY, That I attended deceased from (date): MAY 1912 TO AUG 4, 1913 
That I last saw him/her alive on (date): AUG 3, 1913  
And that death occurred on the date stated above at (time AM/PM):  
THE CAUSE OF DEATH was as follows:  
CANCER RECTUM
(Duration)   Years: 2           Months:            Days:  
Contributory:  

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  JNO E. KINCHELOE
Date:  AUG 4, 1913
Address:  HARDINSBURG, 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:  HAYNES CEMETERY
DATE OF BURIAL:  AUG 4, 1913
20.	UNDERTAKER:  B.F. BEARD & CO
ADDRESS:  HARDINSBURG, KY


ADDITIONAL COMMENTS/NOTES:
From Breck Co Cemeteries Vol 1, his name was Clinton Armes.



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