************************************************************************ 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.: 130 Primary Registration District No: 5304 File No. 6230 Registered No: 2. FULL NAME: FINLEY, PLEASANT WAYNE PERSONAL AND STATICAL PARTICULARS 3. SEX: MALE 4. COLOR OR RACE: WHITE 5. SINGLE, MARRIED, WIDOWED, OR DIVORCED: MARRIED 6. DATE OF BIRTH: MAY 1, 1890 7. AGE (yr. mo. da) (If less than 1 day, hours or min?): 23 / 10 / 7 8. OCCUPATION (a.) Trade, profession or particular kind of work: FARMING (b.) General nature of industry business or establishment which employed: 9. BIRTHPLACE: KENTUCKY 10. NAME OF FATHER: SAMUEL FINLEY 11. BIRTHPLACE OF FATHER: KENTUCKY 12. MAIDEN NAME OF MOTHER: ICEPHENE COTTON 13. BIRTHPLACE OF MOTHER: KENTUCKY 14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE (Informant) JAMES D. FINLEY (Address) HARDINSBURG 15. Filed MAR 8, 1914 REGISTAR: J.B. LENNON MEDICAL CERTIFICATE OF DEATH 16. DATE OF DEATH: MAR 7, 1914 17. I HEREBY CERTIFY, That I attended deceased from (date): MAR 6, 1914 to MAR 7, 1914 That I last saw him/her alive on (date): MAR 6, 1914 And that death occurred on the date stated above at (time AM/PM): 9 [AM or PM NOT LISTED] THE CAUSE OF DEATH was as follows: PULMONARY TUBERCULOSIS (Duration) Years: 2 Months: Days: Contributory: (Duration) Years: Months: Days: Signed (M.D.): JOHN E. KINCHELOE Date: MAR 7, 1914 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: MT. VERNE CEM, HANCOCK COUNTY DATE OF BURIAL: MAR 8, 1914 20. UNDERTAKER: B.F. BEARD & CO ADDRESS: HARDSINBURG 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 ************************************************************************