1. PLACE OF DEATH
County: Breckinridge
Vot. Pol.: Hardinsburg
Inc Town:
City:
No.
St.
Ward: 2
Registration District No.: 130
Primary Registration District No: 5302
File No. 6168
Registered No: 80
1. FULL NAME: Wilbur Franklin Tabor
PERSONAL AND STATICAL PARTICULARS
2. SEX: boy
3. COLOR OR RACE: white
4. SINGLE, MARRIED, WIDOWED, OR DIVORCED: single
5. DATE OF BIRTH: 2-28-1908
6. AGE  (yr. mo. da) (If less than 1 day, hours or min?): 4yrs2ds
7. OCCUPATION (a.) Trade, profession or particular kind of work: baby
(b.)  General nature of industry business or establishment which employed:
8. BIRTHPLACE: Garfield Ky
9. NAME OF FATHER: Fred Tabor
10. BIRTHPLACE OF FATHER: Garfield Ky
11. MAIDEN NAME OF MOTHER: Ollie Compton
12. BIRTHPLACE OF MOTHER: Garfield Ky
13. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant) Truman Tabor
(Address) Garfield Ky
14. Filed Mar 1, 1912
REGISTAR: WB Lennon
MEDICAL CERTIFICATE OF DEATH
15. DATE OF DEATH: 3-1-1912
16. I HEREBY CERTIFY, That I attended deceased from (date): 2-26-1912 to 3-1-1912
That I last saw him/her alive on (date): 3-1-1912
And that death occurred on the date stated above at (time AM/PM): 5AM
THE CAUSE OF DEATH was as follows:
Pneumonia
(Duration)
Years:
Months:
Days: 5
Signed (M.D.): EC Harned
Date: 3-1-1912
Address: Garfield Ky
17. 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:
18. PLACE OF BURIAL OR REMOVAL: Garfield Cemetery
DATE OF BURIAL: Mar 2, 1912
19. UNDERTAKER: I.B. Richardson
ADDRESS: Garfield Ky

************************************************************************
Copyright.  All rights reserved.
http://www.usgwarchives.net/copyright.htm
http://www.usgwarchives.net/ky/kyfiles.html
************************************************************************
************************************************************************

File contributed for use in USGenWeb Archives by:
Dana Brown http://www.genrecords.net/emailregistry/vols/00005.html#0001067
http://www.usgwarchives.net

************************************************************************