************************************************************************ Copyright. All rights reserved. http://www.usgwarchives.net/copyright.htm http://www.usgwarchives.net/ky/kyfiles.html ************************************************************************ ************************************************************************ File contributed for use in USGenWeb Archives by: Dana Brown http://www.genrecords.net/emailregistry/vols/00005.html#0001067 http://www.usgwarchives.net ************************************************************************ 1. PLACE OF DEATH County: Breckinridge Vot. Pol.: Hardinsburg KY Inc Town: Hardinsburg KY City: No. St. Ward Registration District No.: Primary Registration District No: File No. 29806 Registered No: 137 2. FULL NAME: Ruth Whitworth PERSONAL AND STATICAL PARTICULARS 3. SEX: Female 4. COLOR OR RACE: White 5. SINGLE, MARRIED, WIDOWED, OR DIVORCED: Single 6. DATE OF BIRTH: Oct 8, 1906 7. AGE (yr. mo. da) (If less than 1 day, hours or min?): 6 yrs 2 mos 18 da 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: Jesse Whitworth 11. BIRTHPLACE OF FATHER: Kentucky 12. MAIDEN NAME OF MOTHER: Matti Lewis Heston 13. BIRTHPLACE OF MOTHER: Kentucky 14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE (Informant) Clora Heston (Address) Hardinsburg KY 15. Filed Dec 27, 1912 REGISTAR: W B Lennon MEDICAL CERTIFICATE OF DEATH 16. DATE OF DEATH: Dec 26, 1912 17. I HEREBY CERTIFY, That I attended deceased from (date): Nov 21, 1912 to Dec 26, 1912 That I last saw him/her alive on (date): Dec 22, 1912 And that death occurred on the date stated above at (time AM/PM): 4:45 AM THE CAUSE OF DEATH was as follows: Obstruction of bowel Cause mis-diagnosed (Duration) Years: Months: 1 Days: 7 Signed (M.D.): Jno E Kincheloe Date: Dec 26, 1912 Address: Hardinsburg KY 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: Dec 27, 1912 20. UNDERTAKER: B F Beard & Co ADDRESS: Hardinsburg KY ************************************************************************ Copyright. All rights reserved. http://www.usgwarchives.net/copyright.htm http://www.usgwarchives.net/ky/kyfiles.html ************************************************************************