Kentucky State Death Volume # 1913
Kentucky State Death Certificate File # 25864
Place of Death: Jacob Park, Jefferson County,Kentucky
Full Name: Anna B Riley
Sex: Female
Color or Race: White
Martial Status: Married
Date of Birth: Feb 28, 1878
Age: 35 yrs, 6 mos, 17 dys
Birthplace: Meade County, Kentucky
Name of Father: John Cain
Birthplace of Father: Kentucky
Maiden Name of Mother: Mary Elizabeth Fore
Birthplace of Mother: Not known
Informant: John W Riley, Louisville, Kentucky
Date of Death: Sep 14, 1913
Cause of Death: Tuberculosis (Pulmonary)
Contributory: La Grippe
Signed by: Dr J P Sharklett, 1064 Bluegrass, Louisville, Kentucky
Place of Burial or Removal: Eastern Cemetery
Date of Burial: Sept 16, 1913
Kentucky State Death Certificate File # 25864
Place of Death: Jacob Park, Jefferson County,Kentucky
Full Name: Anna B Riley
Sex: Female
Color or Race: White
Martial Status: Married
Date of Birth: Feb 28, 1878
Age: 35 yrs, 6 mos, 17 dys
Birthplace: Meade County, Kentucky
Name of Father: John Cain
Birthplace of Father: Kentucky
Maiden Name of Mother: Mary Elizabeth Fore
Birthplace of Mother: Not known
Informant: John W Riley, Louisville, Kentucky
Date of Death: Sep 14, 1913
Cause of Death: Tuberculosis (Pulmonary)
Contributory: La Grippe
Signed by: Dr J P Sharklett, 1064 Bluegrass, Louisville, Kentucky
Place of Burial or Removal: Eastern Cemetery
Date of Burial: Sept 16, 1913
Kentucky State Death Volume # 1913
Kentucky State Death Certificate File # 25864
Place of Death: Jacob Park, Jefferson County,Kentucky
Full Name: Anna B Riley
Sex: Female
Color or Race: White
Martial Status: Married
Date of Birth: Feb 28, 1878
Age: 35 yrs, 6 mos, 17 dys
Birthplace: Meade County, Kentucky
Name of Father: John Cain
Birthplace of Father: Kentucky
Maiden Name of Mother: Mary Elizabeth Fore
Birthplace of Mother: Not known
Informant: John W Riley, Louisville, Kentucky
Date of Death: Sep 14, 1913
Cause of Death: Tuberculosis (Pulmonary)
Contributory: La Grippe
Signed by: Dr J P Sharklett, 1064 Bluegrass, Louisville, Kentucky
Place of Burial or Removal: Eastern Cemetery
Date of Burial: Sept 16, 1913
Kentucky State Death Certificate File # 25864
Place of Death: Jacob Park, Jefferson County,Kentucky
Full Name: Anna B Riley
Sex: Female
Color or Race: White
Martial Status: Married
Date of Birth: Feb 28, 1878
Age: 35 yrs, 6 mos, 17 dys
Birthplace: Meade County, Kentucky
Name of Father: John Cain
Birthplace of Father: Kentucky
Maiden Name of Mother: Mary Elizabeth Fore
Birthplace of Mother: Not known
Informant: John W Riley, Louisville, Kentucky
Date of Death: Sep 14, 1913
Cause of Death: Tuberculosis (Pulmonary)
Contributory: La Grippe
Signed by: Dr J P Sharklett, 1064 Bluegrass, Louisville, Kentucky
Place of Burial or Removal: Eastern Cemetery
Date of Burial: Sept 16, 1913
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