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1.	PLACE OF DEATH
County:  BRECKINRIDGE
Vot. Pol.:  HARDINSBURG
Inc Town:  
City:  
No.  
St.  
Ward:  
Registration District No.:  130
Primary Registration District No:  5302
File No.  15004
Registered No:  
2.	FULL NAME:  WALLS, EMILY COX
PERSONAL AND STATICAL PARTICULARS
3.	SEX:  FEMALE
4.	COLOR OR RACE:  WHITE
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED:  WIDOW
6.	DATE OF BIRTH:  JUN 20, 1813  [as recorded]
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?):  81 / 11 / 24
8.	OCCUPATION (a.) Trade, profession or particular kind of work:  AT HOME
(b.)  General nature of industry business or establishment which employed:  
9.	BIRTHPLACE:  KENTUKCKY
10.	NAME OF FATHER:  JAMES COX
11.	BIRTHPLACE OF FATHER:  KENTUCKY
12.	MAIDEN NAME OF MOTHER:  BETSY SEATON
13.	BIRTHPLACE OF MOTHER:  KENTUCKY
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  GEORGE R. WALLS
(Address)  HARDINSBURG
15.	Filed  JUN 14, 1913
REGISTAR:  B.W. LEMMAN
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH:  JUN 14, 1913
17.	I HEREBY CERTIFY, That I attended deceased from (date):  JUN 14, 1913
That I last saw him/her alive on (date):  
And that death occurred on the date stated above at (time AM/PM):  9 AM
THE CAUSE OF DEATH was as follows:  CANCER RECTUM
(Duration)   Years:            Months:     2       Days:    
Contributory:  

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  JOHN E. KINCHELOR
Date:  JUN 14, 1913
Address:  
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:  BEN MILLER FARM
DATE OF BURIAL:  JUN 15, 1913
20.	UNDERTAKER:  B.A. BEARD & SONS
ADDRESS:  HARDINSBURG


ADDITIONAL COMMENTS/NOTES:  DATE OF BIRTH CALCULATES AT JUN 20, 1831




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