1. PLACE OF DEATH
County:  Breckinridge
Vot. Pol.:  Hardinsburg
Inc Town:  Hardinsburg
City:  
No.  
St.  
Ward:  
Registration District No.:  130
Primary Registration District No:  5302
File No.  24210
Registered No:  121
2. FULL NAME:  Leona Warfield
PERSONAL AND STATICAL PARTICULARS
3. SEX:  Female
4. COLOR OR RACE:  Black
5. SINGLE, MARRIED, WIDOWED, OR DIVORCED:  Single
6. DATE OF BIRTH:  April 7, 1899
7. AGE  (yr. mo. da) (If less than 1 day, hours or min?):  13 yrs  6 mos  3 ds
8. OCCUPATION (a.) Trade, profession or particular kind of work:  School girl
(b.)  General nature of industry business or establishment which employed:  
9. BIRTHPLACE:  Kentucky
10. NAME OF FATHER:  Frank Warfield
11. BIRTHPLACE OF FATHER:  Kentucky
12. MAIDEN NAME OF MOTHER:  Malinda Pool
13. BIRTHPLACE OF MOTHER:  Kentucky
14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  Frank Warfield
(Address)  Hardinsburg, Ky
15. Filed  Oct 21, 1912
REGISTAR:  W. B. Lennon
MEDICAL CERTIFICATE OF DEATH
16. DATE OF DEATH:  Oct. 20, 1912
17. I HEREBY CERTIFY, That I attended deceased from (date):  Oct. 4, 1912 to Oct. 20, 1912
That I last saw him/her alive on (date):  Oct. 19, 1912
And that death occurred on the date stated above at (time AM/PM):  7 m.
THE CAUSE OF DEATH was as follows:  Typhoid Fever

(Duration)   Years:            Months:            Days:  13
Contributory:  

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  Jno E. Kincheloe, M.D.
Date:  Oct. 22, 1912
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 Cemetery
DATE OF BURIAL:  Oct. 21, 1912
20. UNDERTAKER:  J. T. Hoben
ADDRESS:  Hardensubry, Ky