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1.	PLACE OF DEATH
County:  BRECKINRIDGE
Vot. Pol.:  HARDINSBURG KY
Inc Town:  
City:  
No.  
St.  
Ward:  3
Registration District No.: 130 
Primary Registration District No: 5303 
File No.  6357
Registered No: 157 
2.	FULL NAME: ELIZABETH HAYCRAFT 
PERSONAL AND STATICAL PARTICULARS
3.	SEX: FEMALE 
4.	COLOR OR RACE: WHITE 
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED: SINGLE 
6.	DATE OF BIRTH: MAR 6, 1913 
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?): 9HRS 17MIN  
8.	OCCUPATION (a.) Trade, profession or particular kind of work:   AT HOME
(b.)  General nature of industry business or establishment which employed:  
9.	BIRTHPLACE: KENTUCKY 
10.	NAME OF FATHER:  EUGENE HAYCRAFT
11.	BIRTHPLACE OF FATHER:  KENTUCKY
12.	MAIDEN NAME OF MOTHER:  ARTIE OLDHAM
13.	BIRTHPLACE OF MOTHER:  KENTUCKY
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  EUGENE HAYCRAFT
(Address)  HARDINSBURG KY
15.	Filed  MAR 7, 1913
REGISTAR:  WB LENNON
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH: MAR 6, 1913  
17.	I HEREBY CERTIFY, That I attended deceased from (date): MAR 6, 1913 TO MAR 6, 1913 
That I last saw her alive on (date):  MAR 6, 1913
And that death occurred on the date stated above at (time AM/PM):  <  >
THE CAUSE OF DEATH was as follows:  
CEREBRAL HEMMORRHAGE
(Duration)   Years:            Months:            Days:  9 HOURS
Contributory:  

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  JNO. E. KINCHELOE
Date:  MAR 6, 1913
Address:  HARDINSBURG
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: <   > CEMETERY 
DATE OF BURIAL: MAR 7, 1913 
20.	UNDERTAKER:  CALVIN HOLMES (OR NELSON?)
ADDRESS: HARDINSBURG KY 


ADDITIONAL COMMENTS/NOTES:




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