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1.	PLACE OF DEATH
County: BRECKINRIDGE 
Vot. Pol.: BALL TOWN #21 
Inc Town:  
City:  
No.  
St.  
Ward:  
Registration District No.: 5321 
Primary Registration District No:  
File No.  6383
Registered No: 6  
2.	FULL NAME: MONROE MARLOW 
PERSONAL AND STATICAL PARTICULARS
3.	SEX: MALE  
4.	COLOR OR RACE: WHITE   
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED: MARRIED 
6.	DATE OF BIRTH: OCT 25, 1849 
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?): 64YRS 5MOS 5DS 
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:  JESSE MARLOW
11.	BIRTHPLACE OF FATHER:  KENTUCKY
12.	MAIDEN NAME OF MOTHER:  MARY SANDS
13.	BIRTHPLACE OF MOTHER:  KENTUCKY
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant) LEN KEENAN 
(Address) MATTINGLY KY 
15.	Filed  MAR 29, 1913
REGISTAR:  FRED FRANK
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH: MARCH 28, 1913 
17.	I HEREBY CERTIFY, That I attended deceased from (date): 3-22-1913 TO 3-28-1913 
That I last saw him alive on (date): 3-27-1913 
And that death occurred on the date stated above at (time AM/PM):  7PM
THE CAUSE OF DEATH was as follows:  
BRIGHT’S DISEASE
(Duration)   Years:            Months:            Days:  
Contributory:  

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  A.L. KINCHELOE
Date:  3-29-1913
Address:  McQUADY, 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: TARFORK 
DATE OF BURIAL:  MAR 29, 1913
20.	UNDERTAKER:  M HAMMAN & SON
ADDRESS: CLOVERPORT, KY 


ADDITIONAL COMMENTS/NOTES:
According to Breck Co Cemeteries Book Vol 1, his name was James Monroe Marlow Sr.  He was married to Annie who is buried beside him at Tar Fork Campbellite Church Cemetery.



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