************************************************************************ Copyright. All rights reserved. http://www.usgwarchives.net/copyright.htm http://www.usgwarchives.net/ky/kyfiles.html ************************************************************************ ************************************************************************ File contributed for use in USGenWeb Archives by: Dana Brown http://www.genrecords.net/emailregistry/vols/00005.html#0001067 http://www.usgwarchives.net ************************************************************************ 1. PLACE OF DEATH County: Breckinridge Vot. Pol.: Hudson Inc Town: City: No. St. Ward Registration District No.: Primary Registration District No: File No. 11906 Registered No: 7 2. FULL NAME: Ruby Gregory PERSONAL AND STATICAL PARTICULARS 3. SEX: Female 4. COLOR OR RACE: White 5. SINGLE, MARRIED, WIDOWED, OR DIVORCED: Single 6. DATE OF BIRTH: Feb 16, 1911 7. AGE (yr. mo. da) (If less than 1 day, hours or min?): 1yr 3 mos 6 da 8. OCCUPATION (a.) Trade, profession or particular kind of work: -- (b.) General nature of industry business or establishment which employed: -- 9. BIRTHPLACE: Kentucky 10. NAME OF FATHER: James A Gregory 11. BIRTHPLACE OF FATHER: Kentucky 12. MAIDEN NAME OF MOTHER: Anna Beard 13. BIRTHPLACE OF MOTHER: Kentucky 14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE (Informant) Jesse Robison (Address) Hudson KY 15. Filed 5/23 REGISTAR: J H Comer MEDICAL CERTIFICATE OF DEATH 16. DATE OF DEATH: May 22, 1912 17. I HEREBY CERTIFY, That I attended deceased from (date): May 17, 1912 to May 20, 1912 That I last saw him/her alive on (date): May 20, 1912 And that death occurred on the date stated above at (time AM/PM): 11:30 PM THE CAUSE OF DEATH was as follows: Gestestional Indigestion (Duration) Years: Months: Days: Signed (M.D.): J G Hale Date: May 20, 1912 Address: Hardin Springs 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 Hudson Cemetary DATE OF BURIAL: 5/24, 1912 20. UNDERTAKER: J D Pullen ADDRESS: Hudson KY ************************************************************************ Copyright. All rights reserved. http://www.usgwarchives.net/copyright.htm http://www.usgwarchives.net/ky/kyfiles.html ************************************************************************