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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.:  Webster
Inc Town:  
City:  
No.  
St.  
Ward:  
Registration District No.:  
Primary Registration District No:  5311
File No.  23887
Registered No:  
2. FULL NAME:  Robert Razor
PERSONAL AND STATICAL PARTICULARS
3. SEX:  Male
4. COLOR OR RACE:  White
5. SINGLE, MARRIED, WIDOWED, OR DIVORCED:  Married
6. DATE OF BIRTH:  2, 18, 1830
7. AGE  (yr. mo. da) (If less than 1 day, hours or min?):  82 yrs  7 mos  10 ds
8. OCCUPATION (a.) Trade, profession or particular kind of work:  Farmer
(b.)  General nature of industry business or establishment which employed:  
9. BIRTHPLACE:  Breckinridge Co.
10. NAME OF FATHER:  Anthony Razor
11. BIRTHPLACE OF FATHER:  Kentucky
12. MAIDEN NAME OF MOTHER:  Susan Gottey
13. BIRTHPLACE OF MOTHER:  Kentucky
14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  A. N. Knott
(Address)  Raymond, Ky
15. Filed  10-1-1912
REGISTAR:  H. Drane
MEDICAL CERTIFICATE OF DEATH
16. DATE OF DEATH:  September 28, 1912
17. I HEREBY CERTIFY, That I attended deceased from (date):  9, 23, 1912 to 9, 27, 1912
That I last saw him/her alive on (date):  on Sept. 27, 1912
And that death occurred on the date stated above at (time AM/PM):  9:24 p.m.
THE CAUSE OF DEATH was as follows:  Paralysis

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

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  T. J. Hendrick, M.D.
Date:  Sep. 28, 1912
Address:  Webster, 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:  
DATE OF BURIAL:  9-29, 1912
20. UNDERTAKER:  
ADDRESS:  


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Copyright.  All rights reserved.
http://www.usgwarchives.net/copyright.htm
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