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1.	PLACE OF DEATH
County:  Breckinridge
Vot. Pol.:  McDaniels
Inc Town:  
City:  
No.  
St.  
Ward:  
Registration District No.:  
Primary Registration District No:  
File No.  25219
Registered No:  
2.	FULL NAME:  B. Webb Basham
PERSONAL AND STATICAL PARTICULARS
3.	SEX:  Male
4.	COLOR OR RACE:  White
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED:  Married
6.	DATE OF BIRTH:  Feb. 15, 1867
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?):  47 yrs  8 mos  5 ds
8.	OCCUPATION (a.) Trade, profession or particular kind of work:  
(b.)  General nature of industry business or establishment which employed:  Farmer
9.	BIRTHPLACE:  Ky
10.	NAME OF FATHER:  George Basham
11.	BIRTHPLACE OF FATHER:  Ky
12.	MAIDEN NAME OF MOTHER:  Parthenia Critchlow
13.	BIRTHPLACE OF MOTHER:  Ky
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  Lona Basham
(Address)  McDaniels, Ky
15.	Filed  Oct 21, 1914
REGISTAR:  M. M. Jarboe
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH:  Oct. 20, 1914
17.	I HEREBY CERTIFY, That I attended deceased from (date):  Sept. 25, 1914 to Oct. 19, 1914
That I last saw him/her alive on (date):  Oct. 19, 1914
And that death occurred on the date stated above at (time AM/PM):  3 p.m.
THE CAUSE OF DEATH was as follows:  Typhoid fever

(Duration)   Years:            Months:  1          Days:  
Contributory:  

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  J. B. Lampton, M.D.
Date:  Oct. 21, 1914
Address:  McDaniels, 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:  
DATE OF BURIAL:  
20.	UNDERTAKER:  
ADDRESS:  


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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