************************************************************************ Copyright. All rights reserved. http://www.usgwarchives.net/copyright.htm http://www.usgwarchives.net/ky/kyfiles.html ************************************************************************ 1. PLACE OF DEATH County: BRECKINRIDGE Vot. Pol.: HARDINSBURG Inc Town: City: No. St. Ward: 4th Registration District No.: 138 Primary Registration District No: 5304 File No. 575 Registered No: 146 2. FULL NAME: WARDRUF, JAMES T. PERSONAL AND STATICAL PARTICULARS 3. SEX: MALE 4. COLOR OR RACE: WHITE 5. SINGLE, MARRIED, WIDOWED, OR DIVORCED: SINGLE 6. DATE OF BIRTH: AUG 17, 1860 7. AGE (yr. mo. da) (If less than 1 day, hours or min?): 52 / 5 / 11 8. OCCUPATION (a.) Trade, profession or particular kind of work: FARMING (b.) General nature of industry business or establishment which employed: 9. BIRTHPLACE: KENTUCKY 10. NAME OF FATHER: YOUNGER WARDRUF 11. BIRTHPLACE OF FATHER: KENTUCKY 12. MAIDEN NAME OF MOTHER: ANNIE WARDRUF 13. BIRTHPLACE OF MOTHER: KENTUCKY 14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE (Informant) MRS. THOMAS CARAVELE (Address) HARDINSBURG 15. Filed JAN 28, 1913 REGISTAR: W.B. LENNON MEDICAL CERTIFICATE OF DEATH 16. DATE OF DEATH: JAN 28, 1913 17. I HEREBY CERTIFY, That I attended deceased from (date): OCT 1912 to JAN 28, 1913 That I last saw him/her alive on (date): JAN 28, 1913 And that death occurred on the date stated above at (time AM/PM): 8:30 AM THE CAUSE OF DEATH was as follows: PULMONARY TUBERCULOSIS (Duration) Years: 6 Months: Days: Contributory: (Duration) Years: Months: Days: Signed (M.D.): JOHN E. KINCHELOR Date: JAN 28, 1913 Address: HARDINSBURG 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: HARDINSBURG CEM DATE OF BURIAL: JAN 29, 1913 20. UNDERTAKER: B.F. BEARD & CO ADDRESS: HARDINSBURG ADDITIONAL COMMENTS/NOTES: ************************************************************************ File contributed for use in USGenWeb Archives by: Dana Brown http://www.genrecords.net/emailregistry/vols/00005.html#0001067 http://www.usgwarchives.net ************************************************************************