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1.	PLACE OF DEATH
County:  BRECKINRIDGE
Vot. Pol.:  
Inc Town: MC QUADY, KY 
City:  
No.  
St.  
Ward:  
Registration District No.: 130  
Primary Registration District No: 5301 
File No. 3195 
Registered No: 132 (difficult number to read)  
2.	FULL NAME: NETTIE ELLA BALL 
PERSONAL AND STATICAL PARTICULARS
3.	SEX: FEMALE
4.	COLOR OR RACE:  WHITE
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED: MARRIED 
6.	DATE OF BIRTH:  FEB 11, 1863
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?): 49YRS 11MOS 11DS  
8.	OCCUPATION (a.) Trade, profession or particular kind of work:  
(b.)  General nature of industry business or establishment which employed:  
9.	BIRTHPLACE: ILLINOIS 
10.	NAME OF FATHER: PATRICK KEENAN 
11.	BIRTHPLACE OF FATHER: IRELAND 
12.	MAIDEN NAME OF MOTHER: REID 
13.	BIRTHPLACE OF MOTHER: INDIANA 
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant) ROY R. BALL 
(Address) MC QUADY, KY 
15.	Filed  FEB 12, 1913
REGISTAR:  W.B. LENNON
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH: JAN 22, 1913 
17.	I HEREBY CERTIFY, That I attended deceased from (date): 12-22-1912 TO    1-22-1913 
That I last saw him/her alive on (date): 1-22-1913 
And that death occurred on the date stated above at (time AM/PM): 3AM  
THE CAUSE OF DEATH was as follows:  
HYPOSTATIC PNEUMONIA
(Duration)   Years:            Months:            Days:  
Contributory:  

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  A.L. KINCHELOE
Date: JAN 22, 1913 
Address: MCQUADY, 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: MCQUADY CEM  
DATE OF BURIAL: JAN 23, 1913 
20.	UNDERTAKER: E.F. LYONS 
ADDRESS:  MCQUADY, KY


ADDITIONAL COMMENTS/NOTES:
From Breck Co Cemeteries book Vol 1, her name was Henrietta E. (Keenan) Ball.  She was married to William L. Ball, who died the same year.



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