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File contributed for use in USGenWeb Archives by:
Dana Brown http://www.genrecords.net/emailregistry/vols/00005.html#0001067
http://www.usgwarchives.net

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1. PLACE OF DEATH
County:  Breckinridge
Vot. Pol.:  Webster is crossed out, #9 written in
Inc Town:  
City:  
No.  
St.  
Ward:  
Registration District No.:  5309
Primary Registration District No:  
File No.  25215
Registered No:  12
2. FULL NAME:  Ruth Argabright
PERSONAL AND STATICAL PARTICULARS
3. SEX:  female
4. COLOR OR RACE:  white
5. SINGLE, MARRIED, WIDOWED, OR DIVORCED:  [blank]
6. DATE OF BIRTH:  Oct 30, 1914
7. AGE  (yr. mo. da) (If less than 1 day, hours or min?):  Still born
8. OCCUPATION (a.) Trade, profession or particular kind of work:  
(b.)  General nature of industry business or establishment which employed:  
9. BIRTHPLACE:  Breckinridge County, Ky
10. NAME OF FATHER:  W. B. Argabright
11. BIRTHPLACE OF FATHER:  Breckinridge County, Ky
12. MAIDEN NAME OF MOTHER:  Minnie Foltner
13. BIRTHPLACE OF MOTHER:  Crawford County, Ind.
14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  W. B. Argabright
(Address)  Lodiburg, Ky
15. Filed  Nov. 3, 1914
REGISTAR:  Lee Stewart
MEDICAL CERTIFICATE OF DEATH
16. DATE OF DEATH:  OCt 30, Still born
17. I HEREBY CERTIFY, That I attended deceased from (date):  
That I last saw him/her alive on (date):  
And that death occurred on the date stated above at (time AM/PM):  
THE CAUSE OF DEATH was as follows:  Still born
 
(Duration)   Years:            Months:            Days:  
Contributory:  
 
(Duration)   Years:            Months:            Days:  
Signed (M.D.):  H. B. Kurtz
Date:  Oct 30, 1914
Address:  Clifton Mills, Ky
18. LENGTH OF RESIDENCE (For Hospitals, Institutions, Transients, or Recent Residents)
At place of death (yr, mo, da.):  
In the State (yr, mo, da):  
Where was disease contracted,  if not at place of death?  
Former or usual residence:  
19. PLACE OF BURIAL OR REMOVAL:  Lodiburg, Ky
DATE OF BURIAL:  10-31-1914
20. UNDERTAKER:  A. J. Keys
ADDRESS:  Lodiburg, Ky
 

ADDITIONAL COMMENTS/NOTES:
 
 


************************************************************************
Copyright.  All rights reserved.
http://www.usgwarchives.org/copyright.htm
http://www.usgwarchives.org/ky/kyfiles.html
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