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1.	PLACE OF DEATH
County:  BRECKINRIDGE
Vot. Pol.:  
Inc Town: MATTINGLY 
City:  
No.  
St.  
Ward:  
Registration District No.:  5231	
Primary Registration District No:  11
File No.  27975
Registered No:  11
2.	FULL NAME:  BROWN, SUSAN LYNCH
PERSONAL AND STATICAL PARTICULARS
3.	SEX:  FEMALE
4.	COLOR OR RACE:  WHITE
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED:  WIDOW
6.	DATE OF BIRTH:  OCT 12, 1824
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?):  90 / 0 / 26
8.	OCCUPATION (a.) Trade, profession or particular kind of work:  
(b.)  General nature of industry business or establishment which employed:  NONE
9.	BIRTHPLACE:  RETIRED
10.	NAME OF FATHER:  BENJAMIN LYNCH
11.	BIRTHPLACE OF FATHER:  vIRGINIA
12.	MAIDEN NAME OF MOTHER:  DON'T KNOW
13.	BIRTHPLACE OF MOTHER:  DON'T KNOW
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  BEN BROWN
(Address)  MATTINGLY
15.	Filed  NOV 10, 1914
REGISTAR:  FRED FRANK
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH:  NOV 8, 1914
17.	I HEREBY CERTIFY, That I attended deceased from (date):  
That I last saw him/her alive on (date):  
And that death occurred on the date stated above at (time AM/PM):  12 PM
THE CAUSE OF DEATH was as follows:  
(Duration)   Years:            Months:            Days:    
Contributory:  OLD AGE	-   NO DOCTOR ATTENDED

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  BASS BROWN [NO PHYSICIAN LISTED]
Date:  
Address:  
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:  HANCOCK CO, KY
DATE OF BURIAL:  NOV 10, 1914
20.	UNDERTAKER:  M. HAMMON & SONS
ADDRESS:  CLOVERPORT


ADDITIONAL COMMENTS/NOTES:




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File contributed for use in USGenWeb Archives by:
Dana Brown http://www.genrecords.net/emailregistry/vols/00005.html#0001067
http://www.usgwarchives.net

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