From: KyArchives Sent: Wednesday, May 01, 2013 4:05 PM To: Ky-Footsteps Subject: Pile.Mrs.Mary.Effie.1922.Breckinridge.DEATH Mrs. Mary Effie Pile December 31, 1922 Breckinridge County KyArchives Death Name: Pile, Mrs. Mary Effie Date Of Death: December 31, 1922 Time: 1 p. m. Place Of Death: Breckinridge County, KY Residence: Breckinridge County, KY Gender: Female Race: W Age: 39 Marital Status: Married Spouse: Pile, Isaac R. Date Of Birth: September 4, 1883 Place Of Birth: Breckinridge County Mother's Name: Beaty, Lyddie Mother's Birthplace: KY Father's Name: Conner, George Father's Birthplace: Breckinridge Co Cause Of Death: Sudden death following difficult Labor Hospital: Unavailable SS Number: Unavailable Occupation: At home Funeral Home: Ova Board Doctor: J. W. Meador Coroner: Unavailable Informant: Unavailable Date Of Burial: January 2, 1923 Place Of Burial: James M. Pile (illegible) Date Recorded: January 2, 1923 Source Of Record: Kentucky, Death Records, 1852-1953 Certificate No.: 26152 1. PLACE OF DEATH County: Breckinridge Vot. Pol.: Custer Inc Town: City: No. St. Ward: Registration District No.: Primary Registration District No: File No. 370 Registered No: 370 2. FULL NAME: Mrs. Mary Effie Pile PERSONAL AND STATICAL PARTICULARS 3. SEX: female 4. COLOR OR RACE: white 5. SINGLE, MARRIED, WIDOWED, OR DIVORCED: Married 6. DATE OF BIRTH: September 4, 1883 7. AGE (yr. mo. da) (If less than 1 day, hours or min?): 39 yrs 3 mos. 27 ds. 8. OCCUPATION (a.) Trade, profession or particular kind of work: At home (b.) General nature of industry business or establishment which employed: 9. BIRTHPLACE: Breckinridge County, Ky 10. NAME OF FATHER: George Conner 11. BIRTHPLACE OF FATHER: Breckinridge Co., Ky 12. MAIDEN NAME OF MOTHER: Lyddie Beaty 13. BIRTHPLACE OF MOTHER: Breckinridge Co., Ky 14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE (Informant) (Address) 15. Filed Jan 2, 1923 REGISTAR: J. T. Mitcham MEDICAL CERTIFICATE OF DEATH 16. DATE OF DEATH: Dec 31, 1923 17. I HEREBY CERTIFY, That I attended deceased from (date): Dec 31, 1922 to Dec 31, 1922 That I last saw her alive on (date): Dec 31, 1922 And that death occurred on the date stated above at (time AM/PM): 1 pm THE CAUSE OF DEATH was as follows: Sudden death following difficult Labor (Duration) Years: Months: Days: Contributory: Post-Partum Hemorrhage (Duration) Years: Months: Days: Signed (M.D.): J. W. Meador, MD Date: 9/1, 1912 Address: Custer, 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: James M. Pile (illegible) DATE OF BURIAL: Jan 2, 1923 20. UNDERTAKER: Ova Board ADDRESS: Custer, Ky Submitted by: Lisa K. Owen job19_25a@yahoo.com Additional Comments: Effie's child, Carrie Lydia Pile died two days after Effie died. This file has been created by a form at http://www.genrecords.org/kyfiles/