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 • County Poor Farm Cemetery
 • Breckinridge County
 • Kentucky
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Andrew Askins
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Birth: 1833
Death: Jan. 29, 1911

1. PLACE OF DEATH

County: BRECKINRIDGE

Vot. Pol.: HARDINSBURG

Inc Town: HARDINSBURG

City:

No.

St.

Ward 4TH

Registration District No.:

Primary Registration District No:

File No. 250

Registered No: 6

2. FULL NAME: ASKINS, ANDREW

PERSONAL AND STATICAL PARTICULARS

3. SEX: MALE

4. COLOR OR RACE: BLACK

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

6. DATE OF BIRTH: DON'T KNOW 1833

7. AGE (yr. mo. da) (If less than 1 day, hours or min?): 78 YRS

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

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

9. BIRTHPLACE: KENTUCKY

10. NAME OF FATHER: PHILLIP ASKINS

11. BIRTHPLACE OF FATHER: KENTUCKY

12. MAIDEN NAME OF MOTHER: SALLIE ASKINS

13. BIRTHPLACE OF MOTHER: KENTUKCY

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

(Informant) CHARLES MATTINGLY

(Address) HARDINSBURG

15. Filed JAN 29, 1911

REGISTAR: W.B. LENNON

MEDICAL CERTIFICATE OF DEATH

16. DATE OF DEATH: JAN 29, 1911

17. I HEREBY CERTIFY, That I attended deceased from (date): OCT 1, 1910 to JAN 29, 1911

That I last saw him/her alive on (date): JAN 26, 1911

And that death occurred on the date stated above at (time AM/PM): 2 AM

THE CAUSE OF DEATH was as follows: CHRONIC INTERSTITIAL NEPHRITIS



(Duration)

Years: 3

Months:

Days:

Signed (M.D.): JOHN E. KINCHELOR

Date: JAN 29, 1911

Address: HARDINSBURG

18. LENGTH OF RESIDENCE (For Hospitals, Institutions, Transients, or Recent Residents)

At place of death (yr, mo, da.): 0 / 3 / 29

In the State (yr, mo, da): ALL OF LIFE

Where was disease contracted, if not at place of death? MC QUADY

Former or usual residence: MC QUADY

19. PLACE OF BURIAL OR REMOVAL PAUPER CEMETERY

DATE OF BURIAL: JAN 29, 1911

20. UNDERTAKER: B.F. BEARD & CO

ADDRESS: HARDINSBURG

 
 
Burial:
County Poor Farm Cemetery
Breckinridge County
Kentucky, USA
 
Created by: dbc
Record added: Mar 15, 2012
Find A Grave Memorial# 86810496
 


- Patricia Mallory
 Added: Nov. 18, 2012

- Rita
 Added: Aug. 16, 2012
 
 
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