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1.	PLACE OF DEATH
County: BRECKINRIDGE 
Vot. Pol.:  McDANIELS KY
Inc Town:  
City:  
No.  
St.  
Ward:  
Registration District No.:  
Primary Registration District No: 5318 
File No.  28702
Registered No:  
2.	FULL NAME: JOSEPH HENRY HAYES 
PERSONAL AND STATICAL PARTICULARS
3.	SEX:  MALE
4.	COLOR OR RACE: WHITE 
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED: MARRIED 
6.	DATE OF BIRTH:  SEPT 15, 1913
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?): 66YRS 1MO 19DS 
8.	OCCUPATION (a.) Trade, profession or particular kind of work: FARMING 
(b.)  General nature of industry business or establishment which employed:  
9.	BIRTHPLACE: BRECKINRIDGE KY 
10.	NAME OF FATHER:  JOSEPH HENRY HAYES
11.	BIRTHPLACE OF FATHER:  VIRGINIA
12.	MAIDEN NAME OF MOTHER: AGNES MAY COKE 
13.	BIRTHPLACE OF MOTHER:  NELSON CO, KY
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  HENRY J HAYES
(Address)  SeREE, KY
15.	Filed  NOV 4, 1913
REGISTAR: M.M. JARBOE 
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH: NOV 3, 1913 
17.	I HEREBY CERTIFY, That I attended deceased from (date): OCT 26, 1913 TO NOV 3, 1913  
That I last saw him alive on (date): NOV 3, 1913 
And that death occurred on the date stated above at (time AM/PM): 2:45 PM  
THE CAUSE OF DEATH was as follows:  
ABSCESS OF LIVER & BLOOD POISONING
(Duration)   Years:            Months:            Days: 10 
Contributory:  JAUNDICE & ANURIA

(Duration)   Years:            Months: 8           Days:  8
Signed (M.D.):  J.C. TUCKER
Date: NOV 3, 1913 
Address: McDANIELS, 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:  
DATE OF BURIAL:  
20.	UNDERTAKER:  
ADDRESS:  


ADDITIONAL COMMENTS/NOTES:
According to the Breck Co Cemeteries book Vol 1, he is buried at Hayes Cemetery, location unknown.  He was the husband of Mary E Parsons.




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