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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.:  5305
Inc Town:  Cloverport, Ky
City:
No.  5305
St.  
Ward:  1st 
Registration District No.:  
Primary Registration District No:
File No.  14266
Registered No:  18
2. FULL NAME:  Robert Owen Greenwood
PERSONAL AND STATICAL PARTICULARS
3. SEX:  Male
4. COLOR OR RACE:  White
5. SINGLE, MARRIED, WIDOWED, OR DIVORCED:  Single
6. DATE OF BIRTH:  June 13, 1911
7. AGE  (yr. mo. da) (If less than 1 day, hours or min?):  1.8 hrs
8. OCCUPATION 
(a.) Trade, profession or particular kind of work:  none
(b.)  General nature of industry business or establishment which employed:  none
9. BIRTHPLACE:  Kentucky
10. NAME OF FATHER:  E. Eugene Greenwood
11. BIRTHPLACE OF FATHER:  Kentucky
12. MAIDEN NAME OF MOTHER:  Maud Dester Elder
13. BIRTHPLACE OF MOTHER:  Kentucky
14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant):  P.B. Greenwood
(Address):  Cloverport, Ky
15. Filed:  June 14, 1911
REGISTAR:   J Noltu
MEDICAL CERTIFICATE OF DEATH
16. DATE OF DEATH:  June 13, 1911
17. I HEREBY CERTIFY, That I attended deceased from (date):  June 13, 1911 to June 13, 1911
That I last saw him/her alive on (date):  June 13th, 1911
And that death occurred on the date stated above at (time AM/PM):  3:38 am
THE CAUSE OF DEATH was as follows:  premature birth

(Duration)
Years:
Months:
Days:
Signed (M.D.):  Jon T. Owen
Date:  June 14, 1911
Address:  Cloverport, Ky
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:  St. Rose Cemetery Breckinridge Cem
DATE OF BURIAL:  6-15, 1911
20. UNDERTAKER:  M. Howwanton
ADDRESS:  Cloverport, Ky

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Copyright.  All rights reserved.
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