************************************************************************
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.:  ROCKVALE
Inc Town:  
City:  
No.  
St.  
Ward:  
Registration District No.: 5320 
Primary Registration District No:  
File No. 9526 (STAMPED on top of handwritten 7) 
Registered No:  
2.	FULL NAME:  BEVVIE HAWKINS
PERSONAL AND STATICAL PARTICULARS
3.	SEX:  FEMALE
4.	COLOR OR RACE: WHITE  
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED: SINGLE 
6.	DATE OF BIRTH:  DEC 21, 1908
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?): 4YRS 3MOS 21DS 
8.	OCCUPATION (a.) Trade, profession or particular kind of work:  
(b.)  General nature of industry business or establishment which employed:  
9.	BIRTHPLACE:  BRECKINRIDGE CO KY
10.	NAME OF FATHER:  ALFRED HAWKINS
11.	BIRTHPLACE OF FATHER: BRECKINRIDGE CO
12.	MAIDEN NAME OF MOTHER:  BESSIE BURTON
13.	BIRTHPLACE OF MOTHER:  BRECKINRIDGE CO
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant) H.M. TATE 
(Address)  VAN ZANDT
15.	Filed  
REGISTAR:  
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH: APRIL 10, 1913 
17.	I HEREBY CERTIFY, That I attended deceased from (date): 4.1.1913 TO 4.10.1913 
That I last saw her alive on (date):  4.8.1913
And that death occurred on the date stated above at (time AM/PM): 6:30 AM 
THE CAUSE OF DEATH was as follows:  
MENINGITIS
(Duration)   Years:            Months:            Days:  5
Contributory:  REMITTING FEVER (MALARIA)

(Duration)   Years:            Months:            Days:  14
Signed (M.D.):  C. DeWEESE
Date:  4.11.1913
Address: FORDSVILLE, 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: MACEDONIA B. GR. 
DATE OF BURIAL:  4/12/1913
20.	UNDERTAKER:  
ADDRESS:  


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

************************************************************************