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1.	PLACE OF DEATH
County:  BRECKINRIDGE
Vot. Pol.:  GLEN DEAN
Inc Town:  
City:  
No.  
St.  
Ward:  
Registration District No.:  5319
Primary Registration District No:  19
File No.  12278
Registered No:  
2.	FULL NAME:  WHITLER, JOHN WALTER
PERSONAL AND STATICAL PARTICULARS
3.	SEX:  MALE
4.	COLOR OR RACE:  WHITE
5.	SINGLE, MARRIED, WIDOWED, OR DIVORCED:  SINGLE
6.	DATE OF BIRTH:  DEC 19, 1898
7.	AGE  (yr. mo. da) (If less than 1 day, hours or min?):  14 / 5 / 9
8.	OCCUPATION (a.) Trade, profession or particular kind of work:  
(b.)  General nature of industry business or establishment which employed:  
9.	BIRTHPLACE:  MARION CO, KENTUCKY
10.	NAME OF FATHER:  JOHN W. WHITLER
11.	BIRTHPLACE OF FATHER:  OHIO CO, KENTUCKY
12.	MAIDEN NAME OF MOTHER:  MINNIE HANCOCK
13.	BIRTHPLACE OF MOTHER:  MARION CO, KENTUCKY
14.	THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  J. WHITLER
(Address)  GLEN DEAN
15.	Filed  UNDATED
REGISTAR:  MRS MOLLIE DEMPSTER
MEDICAL CERTIFICATE OF DEATH
16.	DATE OF DEATH:  MAY 28, 1913
17.	I HEREBY CERTIFY, That I attended deceased from (date):  MAY 18, 1913 to MAY 27, 1918
That I last saw him/her alive on (date):  MAY 27, 1918
And that death occurred on the date stated above at (time AM/PM):  5 AM
THE CAUSE OF DEATH was as follows:  EPILEPSY
(Duration)   Years:      8      Months:     6       Days:    
Contributory:  

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  P.E. DEMPSTER
Date:  MAY 28, 1913
Address:  GLEN DEAN
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:  GLEN DEAN CEM
DATE OF BURIAL:  MAY 28, 1913
20.	UNDERTAKER:  H. WILSON & CO
ADDRESS:  GLEN DEAN


ADDITIONAL COMMENTS/NOTES:




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

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