************************************************************************
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.: 12 
Inc Town:  IRVINGTON
City:  IRVINGTON
No.  
St.  
Ward:  
Registration District No.:  5312
Primary Registration District No:  
File No.  595
Registered No:  
2.	FULL NAME:  LYON, FOSTER B.
PERSONAL AND STATICAL PARTICULARS
3.	SEX:  MALE
4.	COLOR OR RACE:  WHITE
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED:  MARRIED
6.	DATE OF BIRTH:  MAR 27, 1846
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?):  67 / 9 / 22
8.	OCCUPATION (a.) Trade, profession or particular kind of work:  TOBACCO DEALER
(b.)  General nature of industry business or establishment which employed:  
9.	BIRTHPLACE:  CUSTER
10.	NAME OF FATHER:  JONAS LYON
11.	BIRTHPLACE OF FATHER:  KENTUCKY
12.	MAIDEN NAME OF MOTHER:  SARAH S. POOL
13.	BIRTHPLACE OF MOTHER:  KENTUCKY
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  MRS. P.E. DEMPSTER
(Address)  GLEN DEAN
15.	Filed  JAN 30, 1914
REGISTAR:  D.W. HENRY
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH:  JAN 19, 1914
17.	I HEREBY CERTIFY, That I attended deceased from (date):  
That I last saw him/her alive on (date):  
And that death occurred on the date stated above at (time AM/PM):  10 AM
THE CAUSE OF DEATH was as follows:  ORGANIC HEART TROUBLE  [DIED SUDDENLY]
(Duration)   Years:      6      Months:            Days:    
Contributory:  

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  S.P. PARKS
Date:  JAN 19, 1914
Address:  IRVINGTON
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:  CEDAR HILL CEM
DATE OF BURIAL:  JAN 20, 1914
20.	UNDERTAKER:  G.T. MARSHALL & SON
ADDRESS:  IRVINGTON


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

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