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Find all Beavins in:
 • Saint Romuald Cemetery
 • Hardinsburg
 • Breckinridge County
 • Kentucky
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Clara Elder Beavin
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Birth: Jul. 9, 1880
Death: Feb. 14, 1911

1. PLACE OF DEATH

County: BRECKINRIDGE

Vot. Pol.: 5306

Inc Town:

City: CLOVERPORT

Registration District No.: 131

Primary Registration District No: 3065

File No. 2955

Registered No: 3

2. FULL NAME: BEAVIN, MRS. CLARA ELDER

PERSONAL AND STATICAL PARTICULARS

3. SEX: FEMALE

4. COLOR OR RACE: WHITE

5. SINGLE, MARRIED, WIDOWED, OR DIVORCED: MARRIED

6. DATE OF BIRTH: JUL 9, 1880

7. AGE (yr. mo. da) (If less than 1 day, hours or min?): 30 / 7 / 5

8. OCCUPATION (a.) Trade, profession or particular kind of work: HOUSEKEEPER

(b.) General nature of industry business or establishment which employed: HOUSE WORK

9. BIRTHPLACE: BRECKINRIDGE

10. NAME OF FATHER: THOMAS ELDER

11. BIRTHPLACE OF FATHER: BRECKINRIDGE

12. MAIDEN NAME OF MOTHER: ROSA WALKER

13. BIRTHPLACE OF MOTHER: BRECKINRIDGE

14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE

(Informant) ALLEN ELDER

(Address) LOUISVILLE, KY

15. Filed FEB 15, 1911

REGISTAR: J.C. NOLTE

MEDICAL CERTIFICATE OF DEATH

16. DATE OF DEATH: FEB 14, 1911

17. I HEREBY CERTIFY, That I attended deceased from (date): JAN 14, 1911 to FEB 14, 1911

That I last saw him/her alive on (date): FEB 14, 1911

And that death occurred on the date stated above at (time AM/PM): 3 PM

THE CAUSE OF DEATH was as follows: LARYNGEAL TUBERCULOSIS



(Duration) Years: Months: Days: 45

Contributory:



(Duration) Years: Months: Days:

Signed (M.D.): C.R. LIGHTFOOT

Date: FEB 15, 1911

Address: CLOVERPORT

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: HARDINSBURG

DATE OF BURIAL: FEB 15, 1911

20. UNDERTAKER: M. HAMMON & SONS

ADDRESS: CLOVERPORT

 
 
Burial:
Saint Romuald Cemetery
Hardinsburg
Breckinridge County
Kentucky, USA
 
Created by: deloresindallas
Record added: Mar 15, 2012
Find A Grave Memorial# 86818637
Clara Elder Beavin
Cemetery Photo
Added by: Gerald & Martha M. Thompson
 
 
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