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File contributed for use in USGenWeb Archives by:
Dana Brown http://www.genrecords.net/emailregistry/vols/00005.html#0001067
http://www.usgwarchives.net

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1. PLACE OF DEATH
County:  BRECKINRIDGE
Vot. Pol.:  BIG SPRINGS #14
Inc Town:  
City:  
No.  
St.  
Ward:  
Registration District No.:  5314
Primary Registration District No:  
File No.  5636
Registered No:  1
2. FULL NAME:  LAWSON, WORDEN P.
PERSONAL AND STATICAL PARTICULARS
3. SEX:  MALE
4. COLOR OR RACE:  WHITE
5. SINGLE, MARRIED, WIDOWED, OR DIVORCED:  MARRIED
6. DATE OF BIRTH:  AUG 19, 1824
7. AGE  (yr. mo. da) (If less than 1 day, hours or min?):  86/ 6 / 18
8. OCCUPATION (a.) Trade, profession or particular kind of work:  FARMER
(b.)  General nature of industry business or establishment which employed:  
9. BIRTHPLACE:  KENTUCKY
10. NAME OF FATHER:  GEORGE LAWSON
11. BIRTHPLACE OF FATHER:  VIRGINIA
12. MAIDEN NAME OF MOTHER:  NANCY SMITH
13. BIRTHPLACE OF MOTHER:  UNKNOWN
14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  RICE BEARD
(Address)  IRVINGTON
15. Filed  3/14
REGISTAR:  J.L. MORRIS
MEDICAL CERTIFICATE OF DEATH
16. DATE OF DEATH:  MAR 7, 1911
17. I HEREBY CERTIFY, That I attended deceased from (date):  FEB 20, 1911 to MAR 7, 1911
That I last saw him/her alive on (date):  FEB 20, 1911
And that death occurred on the date stated above at (time AM/PM):  4 AM
THE CAUSE OF DEATH was as follows:  PARALYSIS

(Duration)   Years:            Months:            Days:  15
Contributory:  MYELITIS

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  J.W. & R.W. MEADOR
Date:  3/7/11
Address:  CUSTER
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:  HICKS CEM
DATE OF BURIAL:  3/8/11
20. UNDERTAKER:  R.A. KASEY
ADDRESS:  IRVINGTON

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Copyright.  All rights reserved.
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