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1.	PLACE OF DEATH
County:  BRECKINRIDGE
Vot. Pol.:  5306
Inc Town:  
City:  CLOVERPORT
No.  
St.  
Ward:  2nd
Registration District No.:  131
Primary Registration District No:  3065
File No.  413
Registered No:  180
2.	FULL NAME:  ARMSTRONG, VIRGINIA A. PHILLIPS
PERSONAL AND STATICAL PARTICULARS
3.	SEX:  FEMALE
4.	COLOR OR RACE:  WHITE
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED:  MARRIED
6.	DATE OF BIRTH:  DEC 31, 1843
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?):  71 / - / 13
8.	OCCUPATION (a.) Trade, profession or particular kind of work:  HOUSEHOLD DUTIES
(b0.)  General nature of industry business or establishment which employed:  
9.	BIRTHPLACE:  FORDSVILLE, oHIO COUNTY
10.	NAME OF FATHER:  THOMAS PHILLIPS
11.	BIRTHPLACE OF FATHER:  BEDFORD COUNTY, VIRGINIA
12.	MAIDEN NAME OF MOTHER:  MARY NICHOLS
13.	BIRTHPLACE OF MOTHER:  BEDFORD COUNTY VIRGINIA
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  G.F. STORM
(Address)  CLOVERPORT
15.	Filed  JAN 15, 1915
REGISTAR:  J.C. NOLTE
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH:  JAN 13, 1915
17.	I HEREBY CERTIFY, That I attended deceased from (date):  NOV 30, 1914 to JAN 12, 1915
That I last saw him/her alive on (date):  JAN 11, 1915
And that death occurred on the date stated above at (time AM/PM):  8:20 PM
THE CAUSE OF DEATH was as follows:  CIRRHOSIS OF LIVER
(Duration)   Years:            Months:            Days:    
Contributory:  
(Duration)   Years:            Months:    6        Days:  
Signed (M.D.):  E.C. McDONALD
Date:  JAN 15, 1915
Address:  CLOVERPORT
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:  CLOVERPORT
DATE OF BURIAL:  JAN 16, 1915
20.	UNDERTAKER:  M. HAMMAN & SONS
ADDRESS:  CLOVERPORT


ADDITIONAL COMMENTS/NOTES:




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Dana Brown http://www.genrecords.net/emailregistry/vols/00005.html#0001067
http://www.usgwarchives.net

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