************************************************************************ 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: 2nd Registration District No.: 138 Primary Registration District No: 5302 File No. 26149 Registered No: 2. FULL NAME: WHITWORTH, ABRAHAM PERSONAL AND STATICAL PARTICULARS 3. SEX: MALE 4. COLOR OR RACE: WHITE 5. SINGLE, MARRIED, WIDOWED, OR DIVORCED: SINGLE 6. DATE OF BIRTH: JAN 4, 1840 7. AGE (yr. mo. da) (If less than 1 day, hours or min?): 73 / 9 / 2 8. OCCUPATION (a.) Trade, profession or particular kind of work: INVALID (b.) General nature of industry business or establishment which employed: 9. BIRTHPLACE: KENTUCKY 10. NAME OF FATHER: ABRAHAM WHITWORTH 11. BIRTHPLACE OF FATHER: KENTUCKY 12. MAIDEN NAME OF MOTHER: HARRIETT HOWLEY 13. BIRTHPLACE OF MOTHER: KENTUCKY 14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE (Informant) J.B. RICHARDSON (Address) GARFIELD 15. Filed OCT 7, 1913 REGISTAR: W.B. LENNON MEDICAL CERTIFICATE OF DEATH 16. DATE OF DEATH: OCT 6, 1913 17. I HEREBY CERTIFY, That I attended deceased from (date): --- to OCT 6, 1913 That I last saw him/her alive on (date): OCT 4, 1913 And that death occurred on the date stated above at (time AM/PM): 12 AM THE CAUSE OF DEATH was as follows: CHRONIC DIAREHA (Duration) Years: 10 Months: Days: Contributory: (Duration) Years: Months: Days: Signed (M.D.): JOHN E. KINCHELOR Date: 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: GARFIELD CEMETERY DATE OF BURIAL: OCT 7, 1913 20. UNDERTAKER: J.B. RICHARDSON ADDRESS: GARFIELD 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 ************************************************************************