Fayette County KyArchives Photo Document.....Shultz, Josie Ellen Clark September 16, 1953
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File contributed for use in USGenWeb Archives by:
Darrell Warner http://www.genrecords.net/emailregistry/vols/00001.html#0000008 January 5, 2008, 4:06 pm

Source:             Fayette County, Kentucky Death Certificate #116 53 18200
Photo can be seen at:
http://www.usgwarchives.net/ky/fayette/photos/documents/shultzjo4705gph.jpg
Image file size: 132.9 Kb

Fayette County, Kentucky Death Certificate #116 53 18200
1. Place of death: 449 West Third Street, Lexington, Fayete County, Kentucky
2. Usual residence: 449 West Third Street, Lexington, Fayette County, 
Kentucky  
3. Name of deceased: Josie Ellen Clark Shultz  
4. Date of death: 9-16-1953
5. Sex: female
6. Color or race: white  
7. Married, single or widowed: married  
8. Date of birth: 2-18-1874
9. Age: 79 years
10. Occupation: at home
11. Birthplace: Menifee County, Kentucky
12. Citizen of what country:  USA
13. Father's name: Dr. N. T. Clark
14. Mother's maiden name: Sarah Orsborne
15. Ever in U. S. Armed forces: no
16. Social Security Number: no record
17. Informant: Mrs. Mattie Childers, daughter
18, 19, 20, 21: Cause of death: coronary occlusion
22. Time of death: 2:30 AM
23. Signed: R. V. Neuman
24. Burial: 9-18-1953 Winchester Cemetery, Winchester, Kentucky

Additional Comments:
You can see my entire family tree posted at
http://freepages.genealogy.rootsweb.com/~warner/surnames.htm

File at: http://files.usgwarchives.net/ky/fayette/photos/documents/shultzjo4705gph.txt

This file has been created by a form at http://www.genrecords.org/kyfiles/