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