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1.	PLACE OF DEATH
County: BRECKINRIDGE 
Vot. Pol.:  HARDINSBURG
Inc Town:  
City:  
No.  
St.  
Ward:  1
Registration District No.: 130 
Primary Registration District No: 5301 
File No. 21009 
Registered No:  
2.	FULL NAME: PAUL THOMAS MARSHALL 
PERSONAL AND STATICAL PARTICULARS
3.	SEX:  MALE
4.	COLOR OR RACE: WHITE 
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED:  SINGLE
6.	DATE OF BIRTH: AUG 17, 1912 
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?): 1YR 0MOS 13DS 
8.	OCCUPATION (a.) Trade, profession or particular kind of work:  INFANT
(b.)  General nature of industry business or establishment which employed:  
9.	BIRTHPLACE:  KENTUCKY
10.	NAME OF FATHER:  HUMPHREY MARSHALL
11.	BIRTHPLACE OF FATHER:  KENTUCKY
12.	MAIDEN NAME OF MOTHER:  ELLIE FRANK
13.	BIRTHPLACE OF MOTHER:  KENTUCKY
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  HUMPHREY MARSHALL
(Address)  HARDINSBURG KY
15.	Filed  SEPT 1, 1913
REGISTAR:  WB LENNON
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH: AUG 31, 1913 
17.	I HEREBY CERTIFY, That I attended deceased from (date): JULY 1, 1913 TO AUG 31, 1913 
That I last saw him alive on (date): AUG 24, 1913 
And that death occurred on the date stated above at (time AM/PM): 10:30 AM 
THE CAUSE OF DEATH was as follows:  
INANITION
(Duration)   Years: 1           Months:            Days:  
Contributory:  

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  JNO E KINCHELOE
Date:  AUG 31, 1913
Address:  HARDINSBURG
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:  MARSHALL CEMETERY
DATE OF BURIAL: SEPT 1, 1913 
20.	UNDERTAKER:  B.F.BEARD & CO
ADDRESS: HARDINSBURG KY 


ADDITIONAL COMMENTS/NOTES:
From Breck Co Cemeteries Book Vol 1, he is listed as Paul J Marshall and death date is incorrectly given as 8/30/1918.  Birth date is correct.



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