(AREA FOR NOTES TO DANA ABOUT TRANSCRIPTION) ************************************************************************ 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.: Inc Town: City: No. St. Ward: Registration District No.: 130 Primary Registration District No: 5304 File No. 9444 Registered No: 2. FULL NAME: Martha Webb PERSONAL AND STATICAL PARTICULARS 3. SEX: FEMALE 4. COLOR OR RACE: WHITE 5. SINGLE, MARRIED, WIDOWED, OR DIVORCED: MARRIED 6. DATE OF BIRTH: MAR 1874 7. AGE (yr. mo. da) (If less than 1 day, hours or min?): ABT 40 / 1 / 0 8. OCCUPATION (a.) Trade, profession or particular kind of work: AT HOME (b.) General nature of industry business or establishment which employed: 9. BIRTHPLACE: KENTUCKY 10. NAME OF FATHER: BERRY DALTON 11. BIRTHPLACE OF FATHER: KENTUCKY 12. MAIDEN NAME OF MOTHER: CLARA WHITEHEAD 13. BIRTHPLACE OF MOTHER: KENTUCKY 14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE (Informant) JOHN WEBB (Address) HARDINSBURG 15. Filed APR 17, 1914 REGISTAR: W.B. LENNON MEDICAL CERTIFICATE OF DEATH 16. DATE OF DEATH: APR 17, 1914 17. I HEREBY CERTIFY, That I attended deceased from (date): MAR 26, 1914 to APR 17, 1914 That I last saw him/her alive on (date): APR 16, 1914 And that death occurred on the date stated above at (time AM/PM): 2 AM THE CAUSE OF DEATH was as follows: HEMMORHAGING OF LUNGS - UNABLE TO MAKE DIAGNOSIS - MICROSCOPE DEDUCTS SEVERAL TUBERCELES (Duration) Years: Months: Days: Contributory: (Duration) Years: Months: Days: Signed (M.D.): JOHN A. KINCHELOR Date: APR 17, 1914 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: ST ROMUALD CEM DATE OF BURIAL: APR 17, 1914 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 ************************************************************************