************************************************************************ Copyright. All rights reserved. http://www.usgwarchives.net/copyright.htm http://www.usgwarchives.net/ky/kyfiles.html ************************************************************************ 1. PLACE OF DEATH County: BRECKINRIDGE Vot. Pol.: HARDINSBURG Inc Town: City: No. St. Ward: Registration District No.: 136 Primary Registration District No: 5302 File No. 570 Registered No: 2. FULL NAME: DENHAM, SANFORD PERSONAL AND STATICAL PARTICULARS 3. SEX: MALE 4. COLOR OR RACE: WHITE 5. SINGLE, MARRIED, WIDOWED, OR DIVORCED: MARRIED 6. DATE OF BIRTH: OCT 22, 1846 7. AGE (yr. mo. da) (If less than 1 day, hours or min?): 66 Y 2 MO 18 DA 8. OCCUPATION (a.) Trade, profession or particular kind of work: FARMER (b.) General nature of industry business or establishment which employed: 9. BIRTHPLACE: KY 10. NAME OF FATHER: HARDIN DENHAM 11. BIRTHPLACE OF FATHER: KY 12. MAIDEN NAME OF MOTHER: ALTA SMITH 13. BIRTHPLACE OF MOTHER: KY 14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE (Informant) W. J. HEMMING (Address) HARDINSBURG, KY 15. Filed JAN. 10, 1913 REGISTAR: W. B. LENNON MEDICAL CERTIFICATE OF DEATH 16. DATE OF DEATH: JAN 9, 1913 17. I HEREBY CERTIFY, That I attended deceased from (date): FEB 23, 1912 That I last saw him/her alive on (date): JAN 2, 1913 And that death occurred on the date stated above at (time AM/PM): 2 PM THE CAUSE OF DEATH was as follows: CHRONIC BRONCHITIS, ASTHMA, EMPHYSEMA (Duration) Years: 3 Months: Days: Contributory: (Duration) Years: Months: Days: Signed (M.D.): J. E. MATTHEWS Date: JAN. 10, 1913 Address: WESTVIEW, 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: IVY HILL CEMETERY DATE OF BURIAL: JAN. 11, 1913 20. UNDERTAKER: B. F. BEARD ADDRESS: HARDINSBURG, KY ADDITIONAL COMMENTS/NOTES: ************************************************************************ File contributed for use in USGenWeb Archives by: Dana Brown http://www.genrecords.net/emailregistry/vols/00005.html#0001067 http://www.usgwarchives.net ************************************************************************