************************************************************************ Copyright. All rights reserved. http://www.usgwarchives.net/copyright.htm http://www.usgwarchives.net/ky/kyfiles.html ************************************************************************ 1. PLACE OF DEATH County: BRECKINRIDGE Vot. Pol.: STEPHENSPORT Inc Town: City: No. St. Ward: Registration District No.: 5308 Primary Registration District No: File No. 18899 Registered No: 82 2. FULL NAME: ARMES, EVA L. PERSONAL AND STATICAL PARTICULARS 3. SEX: FEMALE 4. COLOR OR RACE: WHITE 5. SINGLE, MARRIED, WIDOWED, OR DIVORCED: SINGLE 6. DATE OF BIRTH: OCT 14, 1901 7. AGE (yr. mo. da) (If less than 1 day, hours or min?): 13 / 10 / - 8. OCCUPATION (a.) Trade, profession or particular kind of work: SCHOOL GIRL (b.) General nature of industry business or establishment which employed: 9. BIRTHPLACE: BRECKINRIDGE COUNTY 10. NAME OF FATHER: ADD ARMES 11. BIRTHPLACE OF FATHER: BRECKINRIDGE COUNTY 12. MAIDEN NAME OF MOTHER: NETTIE HOOK 13. BIRTHPLACE OF MOTHER: BRECKINRIDGE COUNTY 14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE (Informant) ANDERSON HOOK (Address) HARDINSBURG 15. Filed AUG 15, 1915 REGISTAR: R.A. SHELLMAN MEDICAL CERTIFICATE OF DEATH 16. DATE OF DEATH: AUG 14, 1915 17. I HEREBY CERTIFY, That I attended deceased from (date): AUG 7, 1915 to AUG 14, 1915 That I last saw him/her alive on (date): AUG 14, 1915 And that death occurred on the date stated above at (time AM/PM): 3 PM THE CAUSE OF DEATH was as follows: TYPHOID FEVER (Duration) Years: Months: Days: 10 Contributory: (Duration) Years: Months: Days: Signed (M.D.): wILLIAM L. MILNER Date: AUG 14, 1915 Address: UNION STAR 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: HORSLEY CEM DATE OF BURIAL: AUG 15, 1915 20. UNDERTAKER: B.F. BEARD & CO ADDRESS: HARDINSBURG 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 ************************************************************************