From: KyArchives [archives@genrecords.org]
Sent: Friday, January 04, 2008 7:03 PM
To: Ky-Footsteps
Subject: Shultz.Imogene.1953.Montgomery.DEATH-CERT


Shultz, Imogene June Nixon August 29, 1953 Montgomery County KyArchives Photo - Document

Source:             Montgomery County, Kentucky Death Certificate 16 53 17319
Photo can be seen at:
http://www.usgwarchives.net/ky/montgomery/photos/documents/shultzim4699gph.jpg
Image file size: 135.9 Kb

Montgomery County, Kentucky Death Certificate 16 53 17319 
1. Place of death: Mary Chiles Hospital, Mt Sterling, MOntgomery County, Kentucky 
2. Usual residence: Preston, Bath County, Kentucky 
3. Name of deceased: Imogene June Nixon Shultz 
4. Date of death: 8-29-1953 
5. Sex: female 
6. Color or race: white 
7. Married, single or widowed: married 
8. Date of birth: 6-13-1899 
9. Age: 54 years 
10. Occupation: housewife 
11. Birthplace: Kentucky 
12. Citizen of what country: USA 
13. Father's name: William Noxon 
14. Mother's maiden name: Mollie Johnson 
15. Ever in U. S. Armed forces: 
16. Social Security Number: 
17. Informant: Farmer Shultz
18, 19, 20, 21: Cause of death: carsinoma cervix 
22. Time of death:  6:15 PM 
23. Signed: John A. Byron MD 
24. Burial: 8-31-1953 Kendall Springs Cemetery, Bath County, Kentucky

Submitted by: Darrell Warner
http://www.genrecords.net/emailregistry/vols/00001.html#0000008



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