************************************************************************ Copyright. All rights reserved. http://www.usgwarchives.net/copyright.htm http://www.usgwarchives.net/ky/kyfiles.html ************************************************************************ 1. PLACE OF DEATH County: BRECKINRIDGE Vot. Pol.: UNION STAR Inc Town: City: No. St. Ward: Registration District No.: 5309 Primary Registration District No: File No. 6238 Registered No: 3 2. FULL NAME: STYLES, SILAS PERSONAL AND STATICAL PARTICULARS 3. SEX: MALE 4. COLOR OR RACE: WHITE 5. SINGLE, MARRIED, WIDOWED, OR DIVORCED: MARRIED 6. DATE OF BIRTH: OCT 8, 1861 7. AGE (yr. mo. da) (If less than 1 day, hours or min?): 52 / 5 / 3 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: PETER STYLES 11. BIRTHPLACE OF FATHER: KENTUCKY 12. MAIDEN NAME OF MOTHER: ROZELLA BENNETT 13. BIRTHPLACE OF MOTHER: KENTUCKY 14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE (Informant) W.R. VESSELS (Address) AMMONS, KY 15. Filed MAR 13, 1914 REGISTAR: LEE STEWART MEDICAL CERTIFICATE OF DEATH 16. DATE OF DEATH: MAR 11, 1914 17. I HEREBY CERTIFY, That I attended deceased from (date): JAN 11, 1914 to FEB 28, 1914 That I last saw him/her alive on (date): FEB 28, 1914 And that death occurred on the date stated above at (time AM/PM): 9:30 PM THE CAUSE OF DEATH was as follows: TUBERCULOSIS (Duration) Years: Months: 6 Days: Contributory: (Duration) Years: Months: Days: Signed (M.D.): WM L. MILNER Date: MAR 12, 1914 Address: UNION STAR 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: sHELMANS CEM DATE OF BURIAL: MAR 13, 1914 20. UNDERTAKER: C.A. TINIUS ADDRESS: STEPHENSPORT ADDITIONAL COMMENTS/NOTES: ************************************************************************ File contributed for use in USGenWeb Archives by: Dana Brown http://www.genrecords.net/emailregistry/vols/00005.html#0001067 http://www.usgwarchives.net ************************************************************************