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1.	PLACE OF DEATH
County:  BRECKINRIDGE
Vot. Pol.:  CUSTER
Inc Town:  
City:  
No.  
St.  
Ward:  
Registration District No.:  5315
Primary Registration District No: 15 
File No. 17904 
Registered No: 53 
2.	FULL NAME: NANCY LUCAS 
PERSONAL AND STATICAL PARTICULARS
3.	SEX: FEMALE 
4.	COLOR OR RACE: WHITE  
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED: MARRIED 
6.	DATE OF BIRTH: JULY 11, 1839 
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?): 76YRS 6DS 
8.	OCCUPATION (a.) Trade, profession or particular kind of work: WITH CHILDREN  
(b.)  General nature of industry business or establishment which employed:  
9.	BIRTHPLACE: BRECKINRIDGE 
10.	NAME OF FATHER: JACOB HUFFINES 
11.	BIRTHPLACE OF FATHER: VIRGINIA 
12.	MAIDEN NAME OF MOTHER:  NANCY HANKS
13.	BIRTHPLACE OF MOTHER:  VIRGINIA
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant) GREEN HAYNES 
(Address)  CUSTER, KY
15.	Filed  JULY 13, 1913
REGISTAR:  J.T. MITCHAM
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH: JULY 17, 1913 
17.	I HEREBY CERTIFY, That I attended deceased from (date):  
That I last saw her alive on (date):  JULY 1911
And that death occurred on the date stated above at (time AM/PM):  
THE CAUSE OF DEATH was as follows:  
GENERAL PARALYSIS: INSANE
(Duration)   Years: 7          Months:            Days:  
Contributory:  LIGHTING STROKE

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  J.W. MEADOR
Date:  
Address: CUSTER, 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: JAMES PILE B. GR.  
DATE OF BURIAL:  JULY 18, 1913
20.	UNDERTAKER: JAMES PILE 
ADDRESS: CUSTER, KY 


ADDITIONAL COMMENTS/NOTES:




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