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1.	PLACE OF DEATH
County:  BRECKINRIDGE
Vot. Pol.:  CUSTER, KY
Inc Town:  
City:  
No.  
St.  
Ward:  
Registration District No.: 5315 
Primary Registration District No:  
File No. 6376 
Registered No: 46 
2.	FULL NAME:  SARAH ELIZABETH MACY
PERSONAL AND STATICAL PARTICULARS
3.	SEX: FEMALE 
4.	COLOR OR RACE: WHITE 
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED: MARRIED 
6.	DATE OF BIRTH: 8-17-1843 
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?): 70YRS 7MOS 12DS 
8.	OCCUPATION (a.) Trade, profession or particular kind of work:  WIFE
(b.)  General nature of industry business or establishment which employed:  
9.	BIRTHPLACE: HARDINSBURG, KY 
10.	NAME OF FATHER: WILLIAM DAVIS 
11.	BIRTHPLACE OF FATHER:  DON’T KNOW
12.	MAIDEN NAME OF MOTHER:  DON’T KNOW
13.	BIRTHPLACE OF MOTHER:  DON’T KNOW
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant) JES MACY 
(Address)  GARFIELD, KY
15.	Filed  
REGISTAR:  J.T. MITCHAM
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH:  3-29-1913
17.	I HEREBY CERTIFY, That I attended deceased from (date): 8-8-1912 TO 3-29-1913 
That I last saw Her alive on (date): 3-29-1913 
And that death occurred on the date stated above at (time AM/PM): 10 PM 
THE CAUSE OF DEATH was as follows:  
ANGINA PECTRIS
(Duration)   Years:            Months:            Days:  
Contributory:  

(Duration)   Years:            Months:            Days:  
Signed (M.D.): EC HARNED  
Date:  3-30-1913
Address: GARFIELD, 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:  GARFIELD, KY
DATE OF BURIAL: MAR 31, 1913 
20.	UNDERTAKER:  I.B. RICHARDSON
ADDRESS: GARFIELD, KY 


ADDITIONAL COMMENTS/NOTES:
From Breck Co Cemeteries Book Vol 1, Sarah E. Macy is buried at Garfield Cemetery.  She was married to Jesse Macy.




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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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