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Kentucky death record: Age-78 Place-BATH Volume-027 Cert-13238 Deathvol-38 BATH COUNTY, KENTUCKY DEATH CERTIFICATE 1. Place of death a. County: Bath b. Voter precinct: Olympia c. Inc. town: nothing listed d. City: nothing listed e. Registration district number: 51 f. Primary registration district number: 4082 g. File Number: 13238 h. Registered number: 417 2. Full Name: Thomas A. Montjoy 2a. Residence: nothing listed 3. Sex: male 4. Color or race: white 5a. Single married widowed or divorced: married 5b. If married, widowed or divorced list wife: Clemmie Reffit Montjoy 6. Date of birth: March 4, 1860 7. Age: 78 years 3 months 26 days 8. Trade profession or particular kind of work done, as spinner, sawyer, bookkeeper, ect: farmer 9. Industry or business in which work was done, as silk mill, sawmill, bank. ect: 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. Name of father: Jarrett Montjoy 14. Birthplace of father: Kentucky 15. Name of mother: Margaret Sholdt 16. Birthplace of mother: Kentucky 17. Informant: nothing listed 18. Burial: Stule Graveyard Date of burial: July 2, 1938 19. Undertaker: Shrout, Piper and Shrout of Owingsville, Kentucky 20. Filed: July 5, 1938 Registrar: Mary E. Gudgill 21. Date of death: June 30, 1938 22. I hereby certify, That I attended deceased from May 5, 1938 to June 30, 1938. I last saw him alive on June 12, 1938, death is said to have occurred on the date stated above, at 4:48 AM. The principal cause of death and related causes of importance in order of onset were as follows: heart disease. 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: F. P. Gudgell MD of Owingsville, Kentucky References
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