************************************************************************ Copyright. All rights reserved. http://www.usgwarchives.net/copyright.htm http://www.usgwarchives.net/ky/kyfiles.html ************************************************ File contributed for use in USGenWeb Archives by: Dana Brown http://www.genrecords.net/emailregistry/vols/00005.html#0001067 http://www.usgwarchives.net ************************************************************************ 1. PLACE OF DEATH County: Breckinridge Vot. Pol.: 3 Inc Town: Hardinsburg City: No. 5303 St. Ward Registration District No.: Primary Registration District No: File No. 245 Registered No: 1 1. FULL NAME: George Washington Dunn PERSONAL AND STATICAL PARTICULARS 2. SEX: male 3. COLOR OR RACE: white 4. SINGLE, MARRIED, WIDOWED, OR DIVORCED: married 5. DATE OF BIRTH: March 28, 1841 6. AGE (yr. mo. da) (If less than 1 day, hours or min?): 69yrs9mos2ds 7. OCCUPATION (a.) Trade, profession or particular kind of work: farm laborer (b.) General nature of industry business or establishment which employed: 8. BIRTHPLACE: Kentucky 9. NAME OF FATHER: Eli Dunn 10. BIRTHPLACE OF FATHER: Ky 11. MAIDEN NAME OF MOTHER: Sarah Mack 12. BIRTHPLACE OF MOTHER: Ky 13. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE (Informant) Logan Dunn (Address) Hardinsburg 14. Filed Jan 3, 1911 REGISTAR: W.B. Lennon MEDICAL CERTIFICATE OF DEATH 15. DATE OF DEATH: 1/2/1911 16. I HEREBY CERTIFY, That I attended deceased from (date): Dec 29, 1910 to Jan 2, 1911 That I last saw him/her alive on (date): Jan 1, 1911 And that death occurred on the date stated above at (time AM/PM): 2:30 THE CAUSE OF DEATH was as follows: Lobar Pneumonia (Duration) Years: 0 Months: 0 Days: 4 Signed (M.D.): Jno. E. Kincheloe Date: Jan 2, 1911 Address: Hardinsburg 17. 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: 18. PLACE OF BURIAL OR REMOVAL: Hendrick Cemetery DATE OF BURIAL: Jan 3, 1911 19. UNDERTAKER: Pete Sheeran Bros & Co ADDRESS: Kirk, Ky ************************************************************************ Copyright. All rights reserved. http://www.usgwarchives.net/copyright.htm http://www.usgwarchives.net/ky/kyfiles.html ************************************************