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1.	PLACE OF DEATH
County:  BRECKINRIDGE
Vot. Pol.:  
Inc Town:  uNION sTAR
City:  NEAR TOWN OF UNION STAR
No.  
St.  
Ward:  
Registration District No.:  
Primary Registration District No:  5309
File No.  23684
Registered No:  9
2.	FULL NAME:  CART, WILLIAM FRANKLIN
PERSONAL AND STATICAL PARTICULARS
3.	SEX:  MALE
4.	COLOR OR RACE:  WHITE
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED:  SINGLE
6.	DATE OF BIRTH:  MAR 20, 1842
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?):  71 / 6 / 0
8.	OCCUPATION (a.) Trade, profession or particular kind of work:  FARMER
(b.)  General nature of industry business or establishment which employed:  
9.	BIRTHPLACE:  NEAR UNION STAR, KY
10.	NAME OF FATHER:  DAVID CART
11.	BIRTHPLACE OF FATHER:  NEAR UNION STAR
12.	MAIDEN NAME OF MOTHER:  CHARLOTTE ANN WHEELER
13.	BIRTHPLACE OF MOTHER:  NEAR UNION STAR
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  JOHN C. CART
(Address)  FRYMIRE
15.	Filed  sEP 25, 1913
REGISTAR:  LEE STEWART
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH: SEP 20, 1913 
17.	I HEREBY CERTIFY, That I attended deceased from (date):  AUG 1, 1913 to SEP 20 1913
That I last saw him/her alive on (date):  
And that death occurred on the date stated above at (time AM/PM):  12 AM
THE CAUSE OF DEATH was as follows:  CONGESTION OF BRAIN AND - - -POSTATIC CONGESTION OF LUNGS BOTH CAUSED BY POSITIONING OCCCURING TO FRACTURE ABOUT HIP JOINT
(Duration)   Years:            Months:            Days:    
Contributory:  FRACTURE ABOUT HIP JOINT 10 JAN 1913

(Duration)   Years:            Months:      8      Days:  10
Signed (M.D.):  - - FRYMIRE
Date:  SEP 21, 1913
Address:  FRYMIRE
18.	LENGTH OF RESIDENCE (For Hospitals, Institutions, Transients, or Recent Residents)
At place of death (yr, mo, da.):  
In the State (yr, mo, da):  NEAR UNION STAR 7 YRS, 6 MONTHS
Where was disease contracted,  if not at place of death?  AT PLACE OF DEATH
Former or usual residence:  
19.	PLACE OF BURIAL OR REMOVAL:  UNION STAR
DATE OF BURIAL:  SEP 21, 1913
20.	UNDERTAKER:  W.C. CART
ADDRESS:  UNION STAR


ADDITIONAL COMMENTS/NOTES:  ORIGINAL DOCUMENT IS VERY DIFFICULT TO READ - USE YELLOW FILM BACKGROUND FOR VIEWING.




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