Ohio County KyArchives Photo Document.....Death Certificate Of Hugh Thomas Caven October 8, 1927
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File contributed for use in USGenWeb Archives by:
Bill Gorman GormanTree@LOOKinHERE.net August 22, 2007, 9:48 pm

Source:             Washington State Certificate Of Death
Photo can be seen at:
http://www.usgwarchives.net/ky/ohio/photos/documents/deathcer56ph.jpg
Image file size: 118.9 Kb


Death Certificate
Submitted October 7, 2004
Bill Gorman
GormanTree@LOOKinHERE.net

Washington State Board of Health
Bureau of Vital Statistics
Certificate of Death

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Place of Death
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County: Clallam                      Record No. 153
City or Town of: Port Angeles        Registered No. 456
Registration Dist. No. 2  No. 232-W-9

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Full Name:  Hugh Thomas Caven
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(a) Residence No. 232-W-93 St.
(c) How long in Registration Dist.: 15 yrs.

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Personal And Statistical Particulars
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Sex: Male
Color or Race: White
Single, Married, Widowed or Divorced:  Widower
Date of Birth: June 11, 1845
Age: 82 yrs. 3 mos. 28 da.
Occupation of Deceased: Farmer (self employed), Retired 10 yrs.
Birthplace:  Hartford, Kentucky (Ohio county)
Father: Thomas Caven (POB U.S.A.)
Mother: Sarah Jones
Informant: Miss Ethel Caven
Address: 232-W-99 Port Angeles Was.
Filed: Nov 7, 1927                   Registrar: W.B. Smith 

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Medical Certificate of Death
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Date of Death: Oct 9, 1927
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I HEREBY CERTIFY, That I attended the deceased
from Dec., 1925, to Oct 9, 1927
and that death occurred on the date stated above, at 8:30AM
(State the disease causeing death, or in deaths from violent
causes, state: (1) Means and nature of injury; and (2)
whether ACCIDENTAL, SUICIDAL or HOMICIDAL).
  The CAUSE OF DEATH was as follows:
(Primary) Broncho Pneumonia (Duration) 2 yrs.
CONTRIBUTORY (Secondary) Acute Bronchitis (Duration) 6 ds.
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Did an operation precede death? No
Was there an autopsy? No
What test confirmed diagnosis? Physical Examination
     (Signed) James C Hoys (sp?) M.D.
Oct 11, 1927  Address: Port Angeles
Undertaker: Lyle * Freamar  Address: Port Angeles 

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I HEREBY CERTIFY, upon honor, That I have made the
effort but was unable to secure answers to questions
     Dewey S. Lyder
     (Signature of Undertaker)


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