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m. 14 Nov 1872
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MONTGOMERY COUNTY, KENTUCKY DEATH CERTIFICATE FILE NUMBER 75 17826 REGISTRATION DISTRICT NUMBER 1070 PRIMARY REGISTRATION DISTRICT NUMBER 2425 1. Deceased name: William B. Pergram 2. Sex: male 3. Date of death: 7-13-1975 4. Race white 5. Age: 93 6. Date of birth: 6-12-1882 7a. County ofdeath: Montgomery 7b. City of death: Mt. Sterling 7c. Inside city limits: yes 7d. Hospital: Mary Chiles Hospital 8. Stae of birth: Kentucky 9. Citizen of what country: U.S.A. 10. Married, never married, widowed or divorced: Widowed 11. Surviving spouse: nothing listed 12. Social security number: none 13. Usual occupation: farmer 14a. Residence state: Kentucky 14b. Residence county: Bath 14c. Residence city or town: Owingsville 14d. Inside city limits: no 14e. Street and number: R R #3 15. Fathers name: George Pergram 16. Mothers maiden name: Mary Warner 17a. Informants name: Mrs. Albert Highley 17b. Informants mailing address: Owingsville, Kentucky RR #3 40360 18. Cause of death: generalized anteriosclerosis - infermities of age 19. Autopsy: no 20. Accident, suicide, homicide or undetermined: no 21. Physcian certification: I attended the deceased from 7-13-64 to 7-13-75 and last saw him alive on 7-13-75 and did view the body after death. Death occurred at 8 AM 22. Certification- Medical examiner of Coroner: nothing listed 23. Certifier-name: W. H. McKenna M. D. 7-21-1975 Mt. Sterling Clinic, Mt. Sterling, Kentucky 40353 24a. Burial, removal or cremation: burial 24b. Cemetery: Upper Salt Lick 24c. Location: Upper Salt Lick, Bath County 24d. Date: 7-14-1975 25a. Funeral director: Fred Keal Keal Funeral Home 25b. Name of Embalmer: Fred Keal licence number 1911 26a. Registrar: Della Riddell 26b. Date recieved by Local Registrar: 7-22-1975 References
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