************************************************************************
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.:  Custer
Inc Town:  
City:  
No.  
St.  
Ward:  
Registration District No.:  5325
Primary Registration District No:  15
File No.  27650
Registered No:  36
2.	FULL NAME:  May Bramlett  KY Births CD has Bula for first name 
PERSONAL AND STATICAL PARTICULARS
3.	SEX:  female
4.	COLOR OR RACE:  white
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED:  single
6.	DATE OF BIRTH:  ?? 20? 1912   KY Births CD has April 20, 1912  Jefferson County, KY  
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?):  
8.	OCCUPATION (a.) Trade, profession or particular kind of work:  
(b.)  General nature of industry business or establishment which employed:  
9.	BIRTHPLACE:  Kentucky  KY Births CD has Jefferson County, KY
10.	NAME OF FATHER:  Dock Bramlett
11.	BIRTHPLACE OF FATHER:  Kentucky
12.	MAIDEN NAME OF MOTHER:  Flora Phipps
13.	BIRTHPLACE OF MOTHER:  Kentucky
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  James Phipps
(Address)  Custer, KY
15.	Filed  Nov. 12, 1912
REGISTAR:  J. T. Mitcham
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH:  Nov. 11, 1912
17.	I HEREBY CERTIFY, That I attended deceased from (date):  Oct. 1, 1912 to Nov. 11, 1912
That I last saw him/her alive on (date):  Nov. 1, 1912
And that death occurred on the date stated above at (time AM/PM):  6 P.M.
THE CAUSE OF DEATH was as follows:  
Epilepsy
(Duration)   Years:            Months:    6        Days:  
Contributory:  

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  R. W. Meador
Date:  Nov. 12, 1912
Address:  Custer
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:  Basham Graveyard
DATE OF BURIAL:  Nov. 12, 1912
20.	UNDERTAKER:  Alf Taylor
ADDRESS:  Custer, KY


************************************************************************
Copyright.  All rights reserved.
http://www.usgwarchives.net/copyright.htm
http://www.usgwarchives.net/ky/kyfiles.html
************************************************************************