************************************************************************ Copyright. All rights reserved. http://www.usgwarchives.net/copyright.htm http://www.usgwarchives.net/ky/kyfiles.html ************************************************ File contributed for use in USGenWeb Archives by: Dana Brown http://www.genrecords.net/emailregistry/vols/00005.html#0001067 http://www.usgwarchives.net ************************************************************************ 1. PLACE OF DEATH County: Breckinridge Vot. Pol.: [unreadable] Inc Town: City: No. St. Ward Registration District No.: Primary Registration District No: 5321 File No. 27674 Registered No: 11 2. FULL NAME: John Barbee PERSONAL AND STATICAL PARTICULARS 3. SEX: male 4. COLOR OR RACE: white 5. SINGLE, MARRIED, WIDOWED, OR DIVORCED: single 6. DATE OF BIRTH: Oct 7, 1888 7. AGE (yr. mo. da) (If less than 1 day, hours or min?): 23 years, 1 mo, 17 days 8. OCCUPATION (a.) Trade, profession or particular kind of work: farmer (b.) General nature of industry business or establishment which employed: 9. BIRTHPLACE: Kentucky 10. NAME OF FATHER: E. B. Barbee 11. BIRTHPLACE OF FATHER: Kentucky 12. MAIDEN NAME OF MOTHER: Bettie L. Wilson 13. BIRTHPLACE OF MOTHER: Kentucky 14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE (Informant) Murray Bearin (Address) Mattingly, KY 15. Filed Nov 24, 1911 REGISTAR: Fred Frank MEDICAL CERTIFICATE OF DEATH 16. DATE OF DEATH: Nov 24, 1911 17. I HEREBY CERTIFY, That I attended deceased from (date): Nov 8, 1911 to Nov 23, 1911 That I last saw him/her alive on (date): And that death occurred on the date stated above at (time AM/PM): THE CAUSE OF DEATH was as follows: Typhoid Fever Contributory: Acute Nephritis; 10 days (Duration) Years: Months: Days: 15 Signed (M.D.): W. H. Lucas Date: Nov 24, 1911 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 Tarfork DATE OF BURIAL: Nov 25, 1911 20. UNDERTAKER: M. Hamman & son ADDRESS: Cloverport, KY ************************************************************************ Copyright. All rights reserved. http://www.usgwarchives.net/copyright.htm http://www.usgwarchives.net/ky/kyfiles.html ************************************************