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1.	PLACE OF DEATH
County:  BRECKINRIDGE
Vot. Pol.:  12
Inc Town:  IRVINGTON
City:  
No.  
St.  
Ward:  
Registration District No.:  5312
Primary Registration District No:  
File No.  21023
Registered No:  
2.	FULL NAME:  DOWELL, MILTON L.
PERSONAL AND STATICAL PARTICULARS
3.	SEX:  MALE
4.	COLOR OR RACE:  WHITE
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED:  MARRIED
6.	DATE OF BIRTH:  SEPT. 22, 1848
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?):  64 YR 11 MO 15 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: RILEY DOWELL  
11.	BIRTHPLACE OF FATHER:  KY
12.	MAIDEN NAME OF MOTHER:  JULIA GRACE
13.	BIRTHPLACE OF MOTHER:  KY
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  OSCAR DOWELL
(Address)  IRVINGTON, KY
15.	Filed  AUG 20, 1913
REGISTAR:  D. W. HENRY
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH:  AUG 7 1913
17.	I HEREBY CERTIFY, That I attended deceased from (date):  JULY 10, 1913
That I last saw him/her alive on (date):  AUG 7, 1913
And that death occurred on the date stated above at (time AM/PM):  2 PM
THE CAUSE OF DEATH was as follows:  ABSCESS OF LIVER

(Duration)   Years:            Months:            Days:  28
Contributory:  

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  A. A. BAXTER
Date:  AUG. 8, 1913
Address:  GUSTON, 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:  CEDAR HILL CEMETERY
DATE OF BURIAL:  AUG 8, 1913
20.	UNDERTAKER:  G. T. MARSHALL
ADDRESS:  IRVINGTON, KY


ADDITIONAL COMMENTS/NOTES:




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