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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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1. PLACE OF DEATH
County:  Breckinridge
Vot. Pol.:  Hardinsburg
Inc Town:  
City:  
No.  
St.  
Ward:  
Registration District No.:  130
Primary Registration District No:  5302
File No.  3309
Registered No:  28
2. FULL NAME:  Compton, James F.
PERSONAL AND STATICAL PARTICULARS
3. SEX:  Male
4. COLOR OR RACE:  White
5. SINGLE, MARRIED, WIDOWED, OR DIVORCED:  Married
6. DATE OF BIRTH:  Oct. 26, 1838
7. AGE  (yr. mo. da) (If less than 1 day, hours or min?):  72 yr, 5 mo, 19 da
8. OCCUPATION (a.) Trade, profession or particular kind of work:  Farming
(b.)  General nature of industry business or establishment which employed:  
9. BIRTHPLACE:  Breckinridge County, KY
10. NAME OF FATHER:  Reubin T. Compton
11. BIRTHPLACE OF FATHER:  VA
12. MAIDEN NAME OF MOTHER:  Nancy Morton
13. BIRTHPLACE OF MOTHER:  VA
14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  Arch Weatherford
(Address)  Harned, KY
15. Filed  Apr. 16, 1911
REGISTAR:  W. B. Lennon
MEDICAL CERTIFICATE OF DEATH
16. DATE OF DEATH:  Apr. 15, 1911
17. I HEREBY CERTIFY, That I attended deceased from (date):  Mar. 25, 1911
That I last saw him/her alive on (date):  Apr. 14, 1911
And that death occurred on the date stated above at (time AM/PM):  
THE CAUSE OF DEATH was as follows:  Chronic … nephritis

(Duration)   Years:            Months:            Days:  
Contributory:  

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  A. M. Kincheloe
Date:  Apr. 15, 1911
Address:  Hardinsburg, 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:  Ephesus Cemetery
DATE OF BURIAL:  Apr. 16, 1911
20. UNDERTAKER:  J. B. Payne
ADDRESS:  Harned, KY

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Copyright.  All rights reserved.
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