************************************************************************ Copyright. All rights reserved. http://www.usgwarchives.net/copyright.htm http://www.usgwarchives.net/ky/kyfiles.html ************************************************************************ 1. PLACE OF DEATH County: BRECKINRIDGE Vot. Pol.: HARDINSBURG Inc Town: HARNED City: No. St. Ward: Registration District No.: Primary Registration District No: 130 File No. 5302 Registered No: 16340 2. FULL NAME: BRIGHT, NANCY ANN PERSONAL AND STATICAL PARTICULARS 3. SEX: FEMALE 4. COLOR OR RACE: BLACK 5. SINGLE, MARRIED, WIDOWED, OR DIVORCED: MARRIED 6. DATE OF BIRTH: 1850 7. AGE (yr. mo. da) (If less than 1 day, hours or min?): 65 / - / - 8. OCCUPATION (a.) Trade, profession or particular kind of work: HOUSEKEEPER (b.) General nature of industry business or establishment which employed: 9. BIRTHPLACE: KENTUCKY 10. NAME OF FATHER: JOE DENT 11. BIRTHPLACE OF FATHER: VIRGINIA 12. MAIDEN NAME OF MOTHER: --AY BRATCHER 13. BIRTHPLACE OF MOTHER: UNKNOWN 14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE (Informant) J-RRY BRIGHT (Address) HARNED 15. Filed JUL 31, 1915 REGISTAR: W.B. LENNON MEDICAL CERTIFICATE OF DEATH 16. DATE OF DEATH: JUL 30, 1915 17. I HEREBY CERTIFY, That I attended deceased from (date): MAR 5, 1914 tO JUL 30, 1915 That I last saw him/her alive on (date): JUN 1915 And that death occurred on the date stated above at (time AM/PM): 4:30 PM THE CAUSE OF DEATH was as follows: CHRONIC VALVULAR DISEASE OF HEART (Duration) Years: 1 Months: 5 Days: Contributory: (Duration) Years: Months: Days: Signed (M.D.): J.E. MATTHEWS Date: JUL 31, 1915 Address: HARNED 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: WALES CEM DATE OF BURIAL: JUL 31, 1915 20. UNDERTAKER: ROBERT WEATHERFORD ADDRESS: HARNED ADDITIONAL COMMENTS/NOTES: ************************************************************************ File contributed for use in USGenWeb Archives by: Dana Brown http://www.genrecords.net/emailregistry/vols/00005.html#0001067 http://www.usgwarchives.net ************************************************************************