Subject: Death Certificate - Justice, Annie - 1923 - Casey County



Commonwealth of Kentucky
Certificate of Death
#1  
County:  Casey
Vot. Pct.:  No. 6
City:  Phil
#2
Full Name:   ANNIE JUSTICE
#3
Sex:  Female
#4
Color or race:  White
#5
Married
#6
Date of Birth:  February 26, 1904
#7
Age:  19 years, 9 months, 5 days
#8
Occupation:  Housewife
#9
Birthplace:  Kentucky
#10
Name of Father:  E. L. Holt
#11
Birthplace:  Kansas
#12
Name of Mother:  Angia Cox
#13
Birthplace:  Kansas
#14
Informant:  R. C. Bernard,  Phil, Kentucky
#15
Filed:  December 7, 1923 by P.B. Morgan, Registrar
#16
Date of Death:  November 30, 1923
#17
I hereby certify that I attended deceased from (blank) to (blank), that I saw 
him/her alive on (blank) and that death occurred on the date stated above at 
7pm.  The cause of death was as follows:  Pulmonary Tuberculosis   Duration:  
12 months
Signed   W. O. Best (?)  November 3, 1923, Phil, Kentucky
#19
Place of Burial or Removal:  (Illegible)  
Date of Burial:  December 2, 1923
#20
Undertaker:  George (?) Baxter, Address illegible, Acting undertaker




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