BERNARD, Mary, female, white, married
Certificate #449
Date & place of birth: April 11, 1909 (very hard to read)  Kentucky
Residence:
Date & place of death: January 7, 1928  Evarts (?), Casey County
Kentucky
Age: 22 yearx, ? months, ? days
Occupation:  housework
Father's name:  John I. Shell
Birthplace of father:  Kentucky
Mother's maiden name: Mary York
Birthplace of Mother:  Kentucky
Informant: Cecil Tarter
Address:  Gilpin, Kentucky
Cause of death: Bronchia pneumonia
Attending physician: Illegible, M.D.  Phil, Kentucky
Date & place of burial: South Fork  January 8, 1928
Undertaker: Cecil Tarter, Gilpin, Kentucky