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1. PLACE OF DEATH
County:  Breckenridge
Vot. Pol.:  Union Star
Inc Town:  
City:  
No.  
St.  
Ward:  
Registration District No.:  5309
Primary Registration District No:  
File No.  25212
Registered No:  10
2. FULL NAME:  Margaret S. Cashman
PERSONAL AND STATICAL PARTICULARS
3. SEX:  female
4. COLOR OR RACE:  white
5. SINGLE, MARRIED, WIDOWED, OR DIVORCED:  single
6. DATE OF BIRTH:  October 3, 1914
7. AGE  (yr. mo. da) (If less than 1 day, hours or min?):  XXX
8. OCCUPATION (a.) Trade, profession or particular kind of work:  XXX
(b.)  General nature of industry business or establishment which employed:  
9. BIRTHPLACE:  Breckenridge County, Ky
10. NAME OF FATHER:  Robt T. Cashman
11. BIRTHPLACE OF FATHER:  Breckenridge Co., Ky
12. MAIDEN NAME OF MOTHER:  Blanche Prather
13. BIRTHPLACE OF MOTHER:  Meade Co., Ky
14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  [blank]
(Address)  [blank]
15. Filed  Oct 3, 1914
REGISTAR:  Lee Stewart
MEDICAL CERTIFICATE OF DEATH
16. DATE OF DEATH:  Oct. 3, 1914
17. I HEREBY CERTIFY, That I attended deceased from (date):  XXX
That I last saw him/her alive on (date):  
And that death occurred on the date stated above at (time AM/PM):  
THE CAUSE OF DEATH was as follows:  [stamped with] STILLBIRTH
 
(Duration)   Years:            Months:            Days:  
Contributory:  
 
(Duration)   Years:            Months:            Days:  
Signed (M.D.):  Wm. D. Milner
Date:  9/3, 1914
Address:  Union Star, Ky
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:  Hardinsburg, Ky
DATE OF BURIAL:  Oct  [unreadable], 191?
20. UNDERTAKER:  [blank]
ADDRESS:  [blank]
 

ADDITIONAL COMMENTS/NOTES:
 
Breckenridge County Cemetery Book, Volume 1, page 90:
Cashman, Margaret L, 10/3/1914 - 10/3/1914, Daughter of B & B is buried at Raymond Baptist Church Cemetery at the edge of Raymond. Approximately 4 miles north of Webster in NE Breckenridge County.
 

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