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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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1. PLACE OF DEATH
County:  Breckinridge
Vot. Pol.:  Custer
Inc Town:  
City:  
No.  
St.  
Ward:  
Registration District No.:  5315
Primary Registration District No:  
File No.  11260
Registered No: 7 
2. FULL NAME:  Morgan, Bettie Marrs
PERSONAL AND STATICAL PARTICULARS
3. SEX:  Female
4. COLOR OR RACE:  White
5. SINGLE, MARRIED, WIDOWED, OR DIVORCED:  Widowed
6. DATE OF BIRTH:  Oct. 13, 1947
7. AGE  (yr. mo. da) (If less than 1 day, hours or min?):  63 yr 6 mo 1 da
8. OCCUPATION (a.) Trade, profession or particular kind of work:  Housework
(b.)  General nature of industry business or establishment which employed:  
9. BIRTHPLACE:  Green County, KY
10. NAME OF FATHER:  Bengeman Marrs
11. BIRTHPLACE OF FATHER:  Green County, KY
12. MAIDEN NAME OF MOTHER:  Rachel Milbie
13. BIRTHPLACE OF MOTHER:  Green County, KY
14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  Nancy G. Haynes
(Address)  Custer, KY
15. Filed  Apr. 14, 1911
REGISTAR:  R. O. Penick
MEDICAL CERTIFICATE OF DEATH
16. DATE OF DEATH:  Apr. 14, 1911
17. I HEREBY CERTIFY, That I attended deceased from (date):  March 7, 1911
That I last saw him/her alive on (date):  Apr. 11, 1911
And that death occurred on the date stated above at (time AM/PM):  12:00 AM
THE CAUSE OF DEATH was as follows:  Chorea

(Duration)   Years:            Months:   2	  Days:  7
Contributory:  Swelling of the brain

(Duration)   Years:            Months:       15     Days:  
Signed (M.D.):  John W. Meador
Date:  Apr. 14, 1911
Address:  Custer, 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:  Marrs Cemetery
DATE OF BURIAL:  Apr. 14, 1911
20. UNDERTAKER:  J. B. Richardson
ADDRESS:  Garfield, KY

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Copyright.  All rights reserved.
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