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1.	PLACE OF DEATH
County:  BRECKINRIDGE
Vot. Pol.:  IRVINGTON
Inc Town:  
City:  
No.  
St.  
Ward:  
Registration District No.:  5312
Primary Registration District No:  
File No.  26160
Registered No:  
2.	FULL NAME:  FOOTE, GINGER
PERSONAL AND STATICAL PARTICULARS
3.	SEX:  MALE   [AS WRITTEN]
4.	COLOR OR RACE:  BLACK
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED:  WIDOWER
6.	DATE OF BIRTH:  NOV 10, 1887
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?):  25 / 10 / 21
8.	OCCUPATION (a.) Trade, profession or particular kind of work:  
(b.)  General nature of industry business or establishment which employed:  LABORER
9.	BIRTHPLACE:  KENTUCKY
10.	NAME OF FATHER:  GEORGE FOOT
11.	BIRTHPLACE OF FATHER:  KENTUCKY
12.	MAIDEN NAME OF MOTHER:  SARRAH BOARD
13.	BIRTHPLACE OF MOTHER:  KENTUCKY
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  GEORGE FOOT
(Address)  IVRINGTON
15.	Filed  OCT 2, 1913
REGISTAR:  D.W. HENRY
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH:  OCT 1, 1913
17.	I HEREBY CERTIFY, That I attended deceased from (date):  OCT 1, 1913 to OCT 1, 1913
That I last saw him/her alive on (date):  
And that death occurred on the date stated above at (time AM/PM):  6 PM
THE CAUSE OF DEATH was as follows:  GUNSHOT WOUND CAUSING INSTANT DEATH
(Duration)   Years:            Months:            Days:    
Contributory:  

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  P.H. NEVITT
Date:  OCT 23, 1913
Address:  IRVINGTON
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:  IRVINGTON
DATE OF BURIAL:  OCT 3, 1913
20.	UNDERTAKER:  G.T. MARSHALL & SONS
ADDRESS:  IRVINGTON


ADDITIONAL COMMENTS/NOTES:




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