Person:Claude Pergram (1)

BATH COUNTY, KENTUCKY DEATH CERTIFICATE 1. Place of death

 a. County: Bath
 b. Voter precinct: Olympia
 c. Incorporated town: nothing listed
 d. City: nothing listed
 e. Registration district number: 50
 f. Primary registration district number: 4089
 g. File number: 92
 h. Registered number: nothing listed

2. Full name: Claude Pergrem

 a. Residence: nothing listed

3. Sex: male 4. Color or race: white 5. Single, married, widowed or divorced: married

 a. If married, widowed or divorced list husband or wife: nothing listed

6. Date of birth: November 23, 1885 7. Age: 54 years 1 month 8 days 8. Trade profession or kind of work done: nothing listed 9. Industry or business in which work was done: nothing listed 10. Date deceased last worked at this occupation: nothing listed 11. Total time spent in this occupation: nothing listed 12. Birthplace: Kentucky 13. Father's name: George Pergrem 14. Father's birthplace: Kentucky 15. Mother's maiden name: Mary Warner 16. Mother's birthplace: Kentucky 17a. Informant: Mrs. Claude Pergrem 17b. Address: Olympia 18a. Burial, cremation or removal: Griggs 18b. Date: January 3, 1939 19. Undertaker: E. L. Barnes of Owingsville, Kentucky 20a. Date filed: January 4, 1939 20b. Registrar: Mrs. Rose Bradley 21. Date of death: January 2, 1939 22. I hereby certify, that I attended deceased from December 28, 1938 to January 2, 1939. I last saw him alive on January 1, 1939, death is said to have occurred on the date stated above at 10:00 AM. The principal cause of death and related causes of importance in order of onset were as follows: Hypertensive heart disease. Contributory causes of importance not related to principal cause: arteriosclerosis. 23. If death was due to external causes (violence) fill in also the following: nothing listed. 24a. Was disease or injury in any way related to occupation of deceased: nothing listed 24b. Signed: D. C. Dotson MD of Owingsville, Kentucky

1. ↑ Research done and information looked up by Darrell Warner. 1900 Bath County, Kentucky Federal Census.
2. ↑ Research done by and information looked up by Darrell Warner. Bath County, Kentucky death certificate of Claude Pergram.
3. ↑ Research done by and information looked up by Darrell Warner. Bath County, Kentucky death certificate of Claude Pergram.
4. ↑ Research done by and information looked up by Darrell Warner. Bath County, Kentucky death certificate of Claude Pergram.
5. ↑ Research done by and information looked up by Darrell Warner. Bath County, Kentucky death certificate of Claude Pergram.