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1.	PLACE OF DEATH
County:  BRECKINRIDGE
Vot. Pol.:  5305
Inc Town:  
City:  
No.  
St.  
Ward:  1st
Registration District No.:  131
Primary Registration District No:  2065
File No.  1404
Registered No:  203  
2.	FULL NAME:  GREGORY, LEONARD F.
PERSONAL AND STATICAL PARTICULARS
3.	SEX:  MALE
4.	COLOR OR RACE:  WHITE
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED:  SINGLE
6.	DATE OF BIRTH:  MAY 23, 1911
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?):  NONE - CHILD
8.	OCCUPATION (a.) Trade, profession or particular kind of work:  
(b.)  General nature of industry business or establishment which employed:  
9.	BIRTHPLACE:  CLOVERPORT
10.	NAME OF FATHER:  EDWARD GREGORY
11.	BIRTHPLACE OF FATHER:  CLOVERPORT
12.	MAIDEN NAME OF MOTHER:  MAGGIE FELLA
13.	BIRTHPLACE OF MOTHER:  HARRISON COUNTY, INDIANA
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  EDWARD GREGORY
(Address)  CLOVERPORT
15.	Filed  JUN 11, 1915
REGISTAR:  J.C. NOLTE
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH:  JUN 10, 1915
17.	I HEREBY CERTIFY, That I attended deceased from (date):  DEC 1, 1914 to JUN 10, 1915
That I last saw him/her alive on (date):  JUN 9, 1915
And that death occurred on the date stated above at (time AM/PM):  12:50 PM
THE CAUSE OF DEATH was as follows:  PHTHISIS PULMONALIS
(Duration)   Years:            Months:    6        Days:    
Contributory:  HEREDITY AND MEASLES
(Duration)   Years:            Months:            Days:  
Signed (M.D.):  C.R. LIGHTFOOT
Date:  JUN 11, 1915
Address:  CLOVERPORT
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:  CLOVERPORT CEM
DATE OF BURIAL:  JUN 11, 1915
20.	UNDERTAKER:  M. HAMMANS & SONS
ADDRESS:  CLOVERPORT


ADDITIONAL COMMENTS/NOTES:




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

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