1.  PLACE OF DEATH
County:  Breckinridge
Vot. Pol.:  Hardinsburg, Ky
Inc Town:  
City:  
No.  
St.  
Ward:  2
Registration District No.:  5302
Primary Registration District No:  
File No.  17177
Registered No:  36
2.  FULL NAME:  Sophronia Woods
PERSONAL AND STATICAL PARTICULARS
3.  SEX:  Female
4.  COLOR OR RACE:  White
5.  SINGLE, MARRIED, WIDOWED, OR DIVORCED:  Single
6.  DATE OF BIRTH:  May 29, 1911
7.  AGE  (yr. mo. da) (If less than 1 day, hours or min?):  31 days
8.  OCCUPATION (a.) Trade, profession or particular kind of work:  Infant
(b.)  General nature of industry business or establishment which employed:  
9.  BIRTHPLACE:  Louisville, Ky
10.  NAME OF FATHER:  She refuses to give name of father
11.  BIRTHPLACE OF FATHER:  
12.  MAIDEN NAME OF MOTHER:  Alis Woods
13.  BIRTHPLACE OF MOTHER:  Garfield, Ky
14.  THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  Frank Wood
(Address)  Garfield, KY
15.  Filed:  July 2, 1911  
REGISTAR:  W.B. Lennon
MEDICAL CERTIFICATE OF DEATH
16.  DATE OF DEATH:  7-1, 1911
17.  I HEREBY CERTIFY, That I attended deceased from (date):  6-30, 1911 to 7-1, 1911
That I last saw her alive on (date):  7-1, 1911
And that death occurred on the date stated above at (time AM/PM):  2 PM
THE CAUSE OF DEATH was as follows:  Cholera-Infantum

(Duration)   Years:            Months:            Days:  2
Contributory:  

(Duration)   Years:            Months:            Days:  
Signed (M.D.):  E.C. Harned
Date:  7-1, 1911
Address:  Garfield, 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:  Freedom Cemetery
DATE OF BURIAL:  July 2, 1911
20.  UNDERTAKER:  I.B. Richardson
ADDRESS:  Garfield, Ky