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1.	PLACE OF DEATH
County:  BRECKINRIDGE
Vot. Pol.:  MCDANIELS
Inc Town:  
City:  
No.  
St.  
Ward:  
Registration District No.:  
Primary Registration District No:  
File No.  23687
Registered No:  
2.	FULL NAME:  TUCKER, CATHELINE		
PERSONAL AND STATICAL PARTICULARS
3.	SEX:  FEMALE	
4.	COLOR OR RACE:  
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED:  WHITE
6.	DATE OF BIRTH:  SINGLE
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?):  
8.	OCCUPATION (a.) Trade, profession or particular kind of work:  HAD NONE
(b.)  General nature of industry business or establishment which employed:  
9.	BIRTHPLACE:  KENTUCKY
10.	NAME OF FATHER:  RILEY TUCKER
11.	BIRTHPLACE OF FATHER:  KENTUCKY
12.	MAIDEN NAME OF MOTHER:  MARY ARMES
13.	BIRTHPLACE OF MOTHER:  KENTUCKY
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  R. LAMPTON
(Address)  SE REE, KENTUCKY
15.	Filed  SEP 14, 1913
REGISTAR:  M._. JARBOE
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH: SEP 14, 1913 
17.	I HEREBY CERTIFY, That I attended deceased from (date):  SEP 8, 1913 to SEP 14, 1913
That I last saw him/her alive on (date):  SEP 14, 1913
And that death occurred on the date stated above at (time AM/PM):  1:40 AM
THE CAUSE OF DEATH was as follows:  COMPOUND FRACTURE OF LOWER END OF HUMEROUS INTO THE ELBOW JOINT
(Duration)   Years:            Months:            Days:    6 DAYS
Contributory:  SEPTICEMIA

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  J.E. MATTHEWS
Date:  SEP 14, 1913
Address:  WESTVIEW
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:  NO INFORMATION LISTED
DATE OF BURIAL:  
20.	UNDERTAKER:  
ADDRESS:  


ADDITIONAL COMMENTS/NOTES:




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Dana Brown http://www.genrecords.net/emailregistry/vols/00005.html#0001067
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