DEATH: CHALK, Mary Anna, 1915, Campbell Co., KY ------------------------------------------------------------------------------- Contributed for use in US GenWeb Archives: Submitted by E-mail Registry Submitter: Peggy A o k i Date: October 01, 1998 Subject: DEATH: CHALK, Mary Anna, 1915, Campbell Co., KY ------------------------------------------------------------------------------- ******************************************************************************* USGENWEB NOTICE: In keeping with our policy of providing free genealogical information on the Internet, data may be freely used for personal research and by non-commercial entities as long as this message remains on all copied material. These electronic pages may not be reproduced in any format or presentation by other organizations or persons. Persons or organizations desiring to use this material for profit or any form of presentation, must obtain the written consent of the file submitter, or his legal representative and then contact the listed USGENWEB archivist with proof of this consent. The submitter has given permission to the USGenWeb Archives to store the file permanently for free access. http://www.usgwarchives.net. ******************************************************************************* Commmonwealth of Kentucky State Board of Health Bureau of Vital Statistics CERTIFICATE OF DEATH file # 534 1. Place of Death: County- Campbell, Inc. Town- Gubser Mills, Registration District No.- 185, Primary Registration District No.- 5432 2. Full Name: Mary Anna Chalk 3. Sex: Female 4. Color or Race: White 5. Married 6. Date of Birth: Dec. 6, 1835 7. Age: 79 years, 1 month, 18 days 8. Occupation: Housework 9. Birthplace: Germany 10. Name of Father: Steve Sheanshang 11. Birthplace of Father: Germany 12. Name of Mother: Don't know 13. Birthplace of Mother: Don't know 14. The above is true to the best of my knowledge: Informant: Jos. Chalk, Gubser Mills, KY 15. Filed: (blank) 16. Date of Death: Jan. 24, 1915 17. Cause of Death: (unreadable--perhaps "peritonitis") Contributory: Senility Signed: F.E. Kinsey (?) Jan 14, 1914 , ????, KY 18. Length of residence: blank 19. Place of Burial: Gubser Mills, KY Date: Jan 27, 1915 20. Undertaker: P.A. Erschell, Alex. KY Note: Mary Anna was born in Raedersdorf, Alsace, France. Her father (born there also) was "Etienne Tschientshan" on his birth certificate (an on hers). Her mother was Gertrude Meister, also of Raedersdorf, France. ******************************************************************************