************************************************************************
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.:  Hardinsburg
Inc Town:  Hardinsburg
City:  
No.  
St.  
Ward:  4
Registration District No.:  5304
Primary Registration District No:  
File No.  6171
Registered No  83
2. FULL NAME:  Beal, Peter
PERSONAL AND STATICAL PARTICULARS
3. SEX:  Male
4. COLOR OR RACE:  White
5. SINGLE, MARRIED, WIDOWED, OR DIVORCED:  Widowed
6. DATE OF BIRTH:  About 1822
7. AGE  (yr. mo. da) (If less than 1 day, hours or min?):  90 yr
8. OCCUPATION (a.) Trade, profession or particular kind of work:  In county poorhouse
(b.)  General nature of industry business or establishment which employed:  
9. BIRTHPLACE:  KY
10. NAME OF FATHER:  Phillip Beal
11. BIRTHPLACE OF FATHER:  KY
12. MAIDEN NAME OF MOTHER:  Elizabeth Hamilton
13. BIRTHPLACE OF MOTHER:  KY
14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  William Wheeler
(Address)  Hardinsburg, KY
15. Filed  Mar. 8, 1912
REGISTAR:  W. B. Lennon
MEDICAL CERTIFICATE OF DEATH
16. DATE OF DEATH:  Mar. 7, 1912
17. I HEREBY CERTIFY, That I attended deceased from (date):  Jan. 1910
That I last saw him/her alive on (date):  Mar. 7, 1912
And that death occurred on the date stated above at (time AM/PM):  3 AM
THE CAUSE OF DEATH was as follows:  Arterio Schlerosis

(Duration)   Years:    2        Months:  2          Days: 7 
Contributory:  

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  John E. Kincheloe
Date:  Mar. 7, 1912
Address:  Hardinsburg, 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:  Pauper Cemetery
DATE OF BURIAL:  Mar. 8, 1912
20. UNDERTAKER:  B. F. Beard & CO.
ADDRESS:  Hardinsburg, KY
************************************************************************
Copyright.  All rights reserved.
http://www.usgwarchives.net/copyright.htm
http://www.usgwarchives.net/ky/kyfiles.html
************************************************************************