(AREA FOR NOTES TO DANA ABOUT TRANSCRIPTION)




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1.	PLACE OF DEATH
County:  BRECKINRIDGE
Vot. Pol.:  WEBSTER
Inc Town:  
City:  
No.  
St.  
Ward:  4
Registration District No.:  130
Primary Registration District No:  5304
File No.  17894
Registered No:  
2.	FULL NAME: BASHAM, ELIZABETH 
PERSONAL AND STATICAL PARTICULARS
3.	SEX:  FEMALE
4.	COLOR OR RACE:  WHITE
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED:  WIDOWED
6.	DATE OF BIRTH:  APRIL 19, 1825
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?):  87 YR 3 MO
8.	OCCUPATION (a.) Trade, profession or particular kind of work:  FARMER'S WIFE
(b.)  General nature of industry business or establishment which employed:  
9.	BIRTHPLACE:  BRECKINRIDGE CO., KY
10.	NAME OF FATHER:  BRANSON WEST
11.	BIRTHPLACE OF FATHER:  KY
12.	MAIDEN NAME OF MOTHER:  AILCEY WOOD
13.	BIRTHPLACE OF MOTHER:  BRECKINRIDGE CO., KY
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  J. F. CARTER
(Address)  CLIFTON MILLS, KY
15.	Filed  JULY 14, 1913
REGISTAR:  W. B. LENNON
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH:  JULY 13, 1913
17.	I HEREBY CERTIFY, That I attended deceased from (date):  
That I last saw him/her alive on (date):  JULY 11, 1913
And that death occurred on the date stated above at (time AM/PM):  
THE CAUSE OF DEATH was as follows:  OLD AGE

(Duration)   Years:            Months:            Days:  
Contributory:  

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  H. B. KNOTT
Date:  
Address:  CLIFTON MILLS, 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:  DOWELL CEMETERY
DATE OF BURIAL:  JULY 24, 1913
20.	UNDERTAKER:  B. F. BEARD & CO
ADDRESS:  HARDINSBURG, 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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