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File contributed for use in USGenWeb Archives by:
Dana Brown http://www.genrecords.net/emailregistry/vols/00005.html#0001067
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1. PLACE OF DEATH
County: Breckinridge
Vot. Pol.: 
Inc Town: Lodiburg, Ky
City:
No. 5211
St.
Ward
Registration District No.:
Primary Registration District No:
File No. 27665
Registered No:
1. FULL NAME: August Dutschke (Charles F)
PERSONAL AND STATICAL PARTICULARS
2. SEX: male
3. COLOR OR RACE: white
4. SINGLE, MARRIED, WIDOWED, OR DIVORCED:
5. DATE OF BIRTH: Feb 5th, 1832
6. AGE  (yr. mo. da) (If less than 1 day, hours or min?): 79yrs9mos15ds
7. OCCUPATION (a.) Trade, profession or particular kind of work: Farmer
(b.)  General nature of industry business or establishment which employed:
8. BIRTHPLACE:       ,Germany
9. NAME OF FATHER: Frederick Dutschke
10. BIRTHPLACE OF FATHER:        , Germany
11. MAIDEN NAME OF MOTHER: Elanora Folge
12. BIRTHPLACE OF MOTHER:    , Germany
13. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant) Julius Dutschke
(Address) Holt, Kentucky
14. Filed 11/21/1911
REGISTAR: Hollis Drane
MEDICAL CERTIFICATE OF DEATH
15. DATE OF DEATH: Nov 20th, 1911
16. I HEREBY CERTIFY, That I attended deceased from (date): Jan 1st, 1911 to Nov 20th, 1911
That I last saw him/her alive on (date): Nov 20th, 1911
And that death occurred on the date stated above at (time AM/PM): 7(?)
THE CAUSE OF DEATH was as follows:
Hemorrhage stomach
(Duration)
Years:
Months:
Days: 3
Signed (M.D.): J.B. Frymire
Date: Nov 20, 1911
Address: Frymire, Ky
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: Walnut Cemetery
DATE OF BURIAL: 11/22/1911
19. UNDERTAKER: W.J. Schopp
ADDRESS: Stephensport, Ky









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Copyright.  All rights reserved.
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