1. PLACE OF DEATH County: Breckinridge Vot. Pol.: Hardinsburg, Ky Inc Town: City: No. St. Ward Registration District No.: 130 Primary Registration District No: 5302 File No. 29808 Registered No: 136 1. FULL NAME: Francis B Teaff PERSONAL AND STATICAL PARTICULARS 2. SEX: male 3. COLOR OR RACE: white 4. SINGLE, MARRIED, WIDOWED, OR DIVORCED: married 5. DATE OF BIRTH: Jan 28, 1864 6. AGE (yr. mo. da) (If less than 1 day, hours or min?): 48yrs10mos26ds 7. OCCUPATION (a.) Trade, profession or particular kind of work: farming (b.) General nature of industry business or establishment which employed: 8. BIRTHPLACE: Kentucky 9. NAME OF FATHER: Patrick Teaff 10. BIRTHPLACE OF FATHER: Ireland 11. MAIDEN NAME OF MOTHER: Bridget OReilly 12. BIRTHPLACE OF MOTHER: Indiana 13. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE (Informant) Joe Teaff (Address) Hardinsburg Ky 14. Filed Dec 25, 1912 REGISTAR: WB Lennon MEDICAL CERTIFICATE OF DEATH 15. DATE OF DEATH: Dec 24, 1912 16. I HEREBY CERTIFY, That I attended deceased from (date): April 1912 to Dec 24, 1912 That I last saw him/her alive on (date): Dec 22, 1912 And that death occurred on the date stated above at (time AM/PM): 11:20 AM THE CAUSE OF DEATH was as follows: Cancer rectum (Duration) Years: 1 Months: 6 Days: Signed (M.D.): Jno E. Kincheloe Date: Dec 25, 1912 Address: Hardinsburg 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: St Romuald’s Cemetery DATE OF BURIAL: Dec 26, 1912 19. UNDERTAKER: Jno. T Hoben ADDRESS: Hardinsburg, 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 ************************************************************************