|
of Cy Jones 1939 |
Cy Jones
Submitted by: Kathy
Hines
Certificate of Death from Commonwealth of
Kentucky
1. Place of Death
County Laurel
Vot. Pct. Stepping
Rock
Registration District
No. 835
Primary Registration
District 6480
2. Full Name Cy Jones
Residence Bernstadt,
KY
3. Sex Male
4. Color or Race White
5. Married
5a. Name of Spouse Rosie B. Jones
6. Date of Birth Aug. 18, 1873
7. Age 66 years 1 months
24 days
8. Trade Farmer
11.Total time spent in this occupation Life
12. Birthplace Bernstadt, KY
13. Father's name Sparks Jones
14. Father's Birthplace Bernstadt, KY
15. Mother's maiden name Anne Brown
16. Mother's Birthplace Bernstadt
17. Informant Rosie Jones
(address)
Bernstadt
18. Burial Swiss Colony Cem. Oct
13, 1939
19. Undertaker House + McHargue
(address)
London, KY
20. Filed 11-6-39 Isabel
Yardell, Registrar
21. Date of Death Oct. 12th, 1939
22. I HERBY CERTIFY, That I attended
deceased from Oct. 12, 1939 to Oct 12, 1939.
I last saw him alive o Oct 12, 1939.
The principle cause of death and related causes
of importance in order of onset were as follows:
Cancer Prostate 51
24. Was disease or injury in any way
related to occupation of deceased? _____
If so,
specify ___2134___
Signed
O D Brock, M.D.
(address)
London, KY
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