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1.	PLACE OF DEATH
County:  BRECKINRIDTGE
Vot. Pol.:  HARDINSBURG
Inc Town:  
City:  
No.  
St.  
Ward:  3rd
Registration District No.:  130
Primary Registration District No:  5303
File No.  574
Registered No:  145
2.	FULL NAME:  NORTON, MEALIE MILAM
PERSONAL AND STATICAL PARTICULARS
3.	SEX:  FEMALE
4.	COLOR OR RACE:  WHITE
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED:  WIDOWED
6.	DATE OF BIRTH:  OCT 21, 1822
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?):  90 / 3 / 5
8.	OCCUPATION (a.) Trade, profession or particular kind of work:  AT HOME
(b.)  General nature of industry business or establishment which employed:  
9.	BIRTHPLACE:  KENTUKCY
10.	NAME OF FATHER:  JOHN MILAM
11.	BIRTHPLACE OF FATHER:  VIRGINIA
12.	MAIDEN NAME OF MOTHER:  MARGARET BASHAM
13.	BIRTHPLACE OF MOTHER:  VIRGINIA
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  JOHN STINNETT
(Address)  HARDINSBURG
15.	Filed  JAN 27, 1913
REGISTAR:  W.B. LENNON
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH:  JAN 26, 1913
17.	I HEREBY CERTIFY, That I attended deceased from (date):  JAN 10, 1910 to JAN 26, 1913
That I last saw him/her alive on (date):  JAN 23, 1913
And that death occurred on the date stated above at (time AM/PM):  1:22 PM
THE CAUSE OF DEATH was as follows:  CANCER OF EYE

(Duration)   Years:     20       Months:            Days:  
Contributory:  

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  JOHN E. KINCHELOE
Date:  JAN 27, 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:  NEW HOPE CEMETERY
DATE OF BURIAL:  JAN 27, 1913
20.	UNDERTAKER:  B.A. BEARD & CO
ADDRESS:  HARDINSBURG


ADDITIONAL COMMENTS/NOTES:
THAT NEW HOPE CEMETERY AT THE TIME OF INTERMENT WAS ALSO KNOWN AS KELLOGG/NORTON CEMETERY.



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