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

************************************************************************
PLACE OF DEATH

County:  BRECKINRIDGE

Vot. Pct:  CLOVERPORT

Inc Town:  

City:  

No.  

St.  

Ward:  1

Registration District No.:  

Primary Registration District No:  

File No.  5629

Registered No:  8

1.       FULL NAME:  WALKER, RESSIE

PERSONAL AND STATISTICAL PARTICULARS

2.       SEX:     FEMALE

3.       COLOR OR RACE:  WHITE

4.       SINGLE, MARRIED, WIDOWED, OR DIVORCED:  SINGLE

5.       DATE OF BIRTH: 8 - 15 - 1894

6.       AGE  (yr. mo. da) (If less than 1 day, hours or min?):  16 / 7 / 1

7.       OCCUPATION (a.) Trade, profession or particular kind of work:  SCHOOOL GIRL

(b.)  General nature of industry business or establishment which employed:  

8.       BIRTHPLACE:  BRECKINRIDGE

9.       NAME OF FATHER:  FRANCIS LOGAN WALKER

10.   BIRTHPLACE OF FATHER:  BRECKINRIDGE

11.   MAIDEN NAME OF MOTHER:  ANNIE MARY PATRICK

12.   BIRTHPLACE OF MOTHER:  INDIANA

13.   THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE

(Informant)  FRANCIS LOGAN WALKER

(Address)  HARDINSBURG

14.   Filed  MAR 19, 1911

REGISTAR:  J.C. NOLTE

MEDICAL CERTIFICATE OF DEATH

15.   DATE OF DEATH:  3 – 16 - 1911

16.   I HEREBY CERTIFY, That I attended deceased from (date):  JUL 1910 to MAR 16, 1911

That I last saw him/her alive on (date):  NOV 18, 1911

And that death occurred on the date stated above at (time AM/PM):  9 ½   AM

THE CAUSE OF DEATH was as follows:  PULMONARY TUBERCULOSIS

 

(Duration)   Years:            Months:     8       Days:  

Contributory:  

 

(Duration)   Years:            Months:            Days:  

Signed (M.D.):  A.M. KINCHELOR

Date:  3 - 16 - 1911

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:  WALKER CEMETERY

DATE OF BURIAL:  MARCH 17, 1911

19.   UNDERTAKER:  B.F. BEARD & CO

ADDRESS:  HARDINSBURG


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