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1.	PLACE OF DEATH
County:  Breckinridge Co.
Vot. Pol.:  3
Inc Town:  Near Frymire Ky
City:  
No.  
St.  
Ward:  
Registration District No.:  5309
Primary Registration District No:  
File No.  591
Registered No:  1
2.	FULL NAME:  Margaret Barr
PERSONAL AND STATICAL PARTICULARS
3.	SEX:  Female
4.	COLOR OR RACE:  White
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED:  Widow
6.	DATE OF BIRTH:  August 27, 1838
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?):  75 yrs.  5 mos  22 ds
8.	OCCUPATION (a.) Trade, profession or particular kind of work:  Housekeeper
(b.)  General nature of industry business or establishment which employed:  
9.	BIRTHPLACE:  West Virginia
10.	NAME OF FATHER:  Paschal Witt
11.	BIRTHPLACE OF FATHER:  West Virginia
12.	MAIDEN NAME OF MOTHER:  Elizabeth Patterson
13.	BIRTHPLACE OF MOTHER:  West Virginia
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  J. H. Brown
(Address)  Frymire, Ky
15.	Filed  1/20 1914
REGISTAR:  Lee Stewart
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH:  1 - 19, 1914
17.	I HEREBY CERTIFY, That I attended deceased from (date):  Jan 10th, 1914 to Jan. 18, 1914
That I last saw him/her alive on (date):  18th Jan, 1914
And that death occurred on the date stated above at (time AM/PM):  4 a.m.
THE CAUSE OF DEATH was as follows:  Pheumonia

(Duration)   Years:            Months:            Days:  9
Contributory:  

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  J. B. Frymire, M.D.
Date:  Jan 19th, 1914
Address:  Frymire, 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:  Near Frymire, Ky
19.	PLACE OF BURIAL OR REMOVAL:  Union Star Cemetery
DATE OF BURIAL:  Jan 20, 1914
20.	UNDERTAKER:  J. E. Ball
ADDRESS:  Andyville, Ky


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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