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1.	PLACE OF DEATH
County:  BRECKINRIDGE
Vot. Pol.:  GLEN DEAN
Inc Town:  
City:  
No.  
St.  
Ward:  
Registration District No.:  5319
Primary Registration District No:  19
File No.  22932
Registered No: 9 
2.	FULL NAME:  MATTINGLY, LENNIE
PERSONAL AND STATICAL PARTICULARS
3.	SEX:  MALE
4.	COLOR OR RACE:  WHITE
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED:  MARRIED
6.	DATE OF BIRTH:  NOV 14, 1829
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?):  81 / 9 / 22
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:  LENNIE MATTINGLY
11.	BIRTHPLACE OF FATHER:  KENTUCKY
12.	MAIDEN NAME OF MOTHER:  DOROTHY THOMPSON
13.	BIRTHPLACE OF MOTHER:  KENTUCKY
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  BECKIE MATTINGLY
(Address)  AXTIE, KENTUCKY
15.	Filed  SEP 5, 1914
REGISTAR:  MRS. MOLLY DEMPSTER
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH:  SEP 5, 1914
17.	I HEREBY CERTIFY, That I attended deceased from (date):  AUG 7, 1914 to SEP 5, 1914
That I last saw him/her alive on (date):  AUG 29, 1914
And that death occurred on the date stated above at (time AM/PM):  4 AM
THE CAUSE OF DEATH was as follows:  GENERAL DEBILITY FOLLOWING AN ATTACK OF PNEUMONIA
(Duration)   Years:            Months:      1      Days:    
Contributory:  

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  J.B. LAMPTON
Date:  SEP 5, 1915
Address:  McDANIELS
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:  LONG LICK CEMETERY
DATE OF BURIAL:  
20.	UNDERTAKER: STORMS RHODES CO  
ADDRESS:  McDANIELS


ADDITIONAL COMMENTS/NOTES:




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Dana Brown http://www.genrecords.net/emailregistry/vols/00005.html#0001067
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