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1.	PLACE OF DEATH
County:  BRECKINRIDGE
Vot. Pol.:  12
Inc Town:  
City:  IRVINGTON
No.  
St.  
Ward:  
Registration District No.:  5312
Primary Registration District No:  
File No.  594
Registered No:  5312
2.	FULL NAME:  BEWLEY, CHRISTOPHER C.
PERSONAL AND STATICAL PARTICULARS
3.	SEX:  MALE
4.	COLOR OR RACE:  WHITE
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED:  MARRIED
6.	DATE OF BIRTH:  AUG 1825
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?):  88 / 4 / 16
8.	OCCUPATION (a.) Trade, profession or particular kind of work:  FARMER
(b.)  General nature of industry business or establishment which employed:  
9.	BIRTHPLACE:  MEADE CO, KENTUCKY
10.	NAME OF FATHER:  JOHN BEWLEY
11.	BIRTHPLACE OF FATHER:  MEADE CO, KENTUCKY
12.	MAIDEN NAME OF MOTHER:  ELIZABETH DENT
13.	BIRTHPLACE OF MOTHER:  BRECKINRIDGE COUNTY
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  GEORGE DOWELL
(Address)  IRVINGTON
15.	Filed  JAN 16, 1914
REGISTAR:  _.M. HENRY
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH:  JAN 15, 1914
17.	I HEREBY CERTIFY, That I attended deceased from (date):  JAN 12, 1914 to JAN 15, 1914
That I last saw him/her alive on (date):  JAN 12, 1914
And that death occurred on the date stated above at (time AM/PM):  10 PM
THE CAUSE OF DEATH was as follows:  SENILITY
(Duration)   Years:    1        Months:            Days:    
Contributory:  

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  P.H. NEVITT
Date:  JAN 16, 1914
Address:  IRVINGTON
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:  BEWLEY CEM
DATE OF BURIAL:  JAN 17, 1914
20.	UNDERTAKER:  E.V. WRIGHT
ADDRESS:  HARDINSBURG


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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