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Date: Wed Nov 15 13:52:43 2006
Submitter: Mary Hatton

Death Volume:  1914
Certificate Number:  15252

Surname:  DAVIS

Given Name:  Annie

Date of Death:  09 Jun 1914

Place of Death:  Eastern State Hospital, Lexington, Fayette Co., Ky.

Race or Color:  Colored

Sex:  Female

Marital Status:  Single

Spouse's Name:
Spouse's Age:  

Cause of Death:  Pulmonary Tuberculosis & Epilepsy

Place of Burial:  Eastern State Hospital Cemetery, Lexington, Fayette Co., Ky.
Date of Burial:  11 Jun 1914

Residence:  Eastern State Hospital, Lexington, Fayette Co., Ky.

Occupation:  Cook

Date of Birth:  1883

Age: 31

Birth Place:  Ky.

Father's Name:  John Bell

Father's Birth Place:  Ky.
Mother's Name:  Lizzie Ford

Mother's Birth Place:  Ky.

Informant:  D. A. Campbell, Eastern State Hospital

Undertaker:  Eastern State Hospital Authorities, Lexington, Fayette Co., Ky.

Comments and Corrections:  Annie Davis was a patient at Eastern State
Hospital, Lexington, Fayette Co., Ky. for 2 years, 5 months, & 12 days
prior to her death. Her usual residence was Scott Co., Ky.