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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:  5304
File No.  3585
Registered No:  157
2.	FULL NAME:  Lillie Dunn
PERSONAL AND STATICAL PARTICULARS
3.	SEX:  Female
4.	COLOR OR RACE:  White
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED:  Married
6.	DATE OF BIRTH:  5, 894
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?):  18 yrs
8.	OCCUPATION (a.) Trade, profession or particular kind of work: House Keeping 
(b.)  General nature of industry business or establishment which employed:  
9.	BIRTHPLACE:  Kentucky
10.	NAME OF FATHER:  James Edmondten
11.	BIRTHPLACE OF FATHER:  Kentucky
12.	MAIDEN NAME OF MOTHER:  Ardille Board
13.	BIRTHPLACE OF MOTHER:  Kentucky
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  Ann Hendrick
(Address)  Hardinsburg, Ky
15.	Filed  Feb 22, 1913
REGISTAR:  W. B. Lennon
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH:  2, 21, 1913
17.	I HEREBY CERTIFY, That I attended deceased from (date):  Jan 1913 to Feb 21, 1913
That I last saw her alive on (date):  Feb 16, 1913
And that death occurred on the date stated above at (time AM/PM):  9 AM
THE CAUSE OF DEATH was as follows:  Pulmonary Tuberculosis

(Duration)   Years:            Months:            Days:  
Contributory:  

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  J. E. Kincheloe
Date:  2-21, 1913
Address:  Hardinsburg
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:  Hendrick Cemetery
DATE OF BURIAL:  Feb 22, 1913
20.	UNDERTAKER:  B. F. Beard & Co.
ADDRESS:  Hardinsburg


ADDITIONAL COMMENTS/NOTES:




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