(AREA FOR NOTES TO DANA ABOUT TRANSCRIPTION)
Can not read the end of the cause of death, the day the doctor signed, and the address of the informant.  Sorry.



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1.	PLACE OF DEATH
County:  Breckinridge
Vot. Pol.:  Hudson
Inc Town:  
City:  
No.  
St.  
Ward:  
Registration District No.:  5316
Primary Registration District No:  
File No.  9524
Registered No:  3
2.	FULL NAME:  Benjamin Franklin Mercer
PERSONAL AND STATICAL PARTICULARS
3.	SEX:  Male
4.	COLOR OR RACE:  White
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED:  Married
6.	DATE OF BIRTH:  Feb. 5, 1852
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?):  61 yrs  2 mos  0 ds
8.	OCCUPATION (a.) Trade, profession or particular kind of work:  Farmer
(b.)  General nature of industry business or establishment which employed:  
9.	BIRTHPLACE:  Ky
10.	NAME OF FATHER:  John Mercer
11.	BIRTHPLACE OF FATHER:  Ky
12.	MAIDEN NAME OF MOTHER:  Sarah Bratcher
13.	BIRTHPLACE OF MOTHER:  Ky
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  Mitchel Mercer
(Address)  Eveleigh, KY
15.	Filed 4-29, 1913 
REGISTAR:  J. H. Comer
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH:  April 5, 1913
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):  
THE CAUSE OF DEATH was as follows:  No doctor in attendance to best of my information he died diabetis mellitus

(Duration)   Years:  2          Months:  5          Days:  
Contributory:  

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  J. G. Hale, M.D.
Date:  April 5, 1913
Address:  Hardin Springs, 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:  Coyle
DATE OF BURIAL:  Apr. 6, 1913
20.	UNDERTAKER:  
ADDRESS:  


ADDITIONAL COMMENTS/NOTES:




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