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1.	PLACE OF DEATH
County:  BRECKINRIDGE
Vot. Pol.:  UNION STAR
Inc Town:  
City:  
No.  
St.  
Ward:  
Registration District No.:  
Primary Registration District No:  5309
File No.  28696
Registered No:  
2.	FULL NAME:  MRS. NANCY C. [CONNER] CART
PERSONAL AND STATICAL PARTICULARS
3.	SEX:  FEMALE
4.	COLOR OR RACE:  WHITE
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED:  WIDOWED
6.	DATE OF BIRTH:  MAR 29, 1832 
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?):  81 / 7 / 4
8.	OCCUPATION (a.) Trade, profession or particular kind of work:  HOUSEKEEPING
(b.)  General nature of industry business or establishment which employed:  NONE
9.	BIRTHPLACE:  near DERBY, INDIANA
10.	NAME OF FATHER:  SAMUEL CONNER
11.	BIRTHPLACE OF FATHER:  PERRY, IN
12.	MAIDEN NAME OF MOTHER:  MARGARET GROVES
13.	BIRTHPLACE OF MOTHER:  INDIANA
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  MAGGIE CART
(Address)  UNION STAR
15.	Filed  NOV 2, 1913
REGISTAR:  LEE STEWART
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH:  NOV 2, 1913
17.	I HEREBY CERTIFY, That I attended deceased from (date):  APR 17, 1913 to NOV 1, 1913
That I last saw him/her alive on (date):  NOV 1, 1913
And that death occurred on the date stated above at (time AM/PM):  12:50 AM
THE CAUSE OF DEATH was as follows:  SARCOMA OF RIGHT OVARY
(Duration)   Years:            Months:     8       Days:    
Contributory:  UREMIA

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  WILLIAM L. MELNER 
Date:  NOV 2, 1913
Address:  UNION STAR
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:  UNION STAR, KY
DATE OF BURIAL:  NOV 3, 1913
20.	UNDERTAKER:  D.S. RICHARDSON
ADDRESS:  UNION STAR


ADDITIONAL COMMENTS/NOTES:




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Dana Brown http://www.genrecords.net/emailregistry/vols/00005.html#0001067
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