DEATH CERTIFICATE

LUTHER BATES

Date 09 January 1924
Cert: 01768
Place of Death: County: Lincoln City or Town: Waynesburg Nat.
Full Name: Luther BATES
Sex, Color or Race, Marital Status: Male, White Single
Date of Birth: 08 September 1902
Age: 21 years, 04 months, 01 days
Occupation: Farming
Birthplace: Ky.
Father Name: C. C. BATES
Father Birthplace: Ky.
Mother Maiden Name: Geneva COOK
Mother Birthplace: Ky.
Informant: C. C. BATES, Waynesburg, Ky.
Date received by local registrar: 10 February 1924
Registrar's Signature: Mrs. A. K. Caldwell
Date of Death: 09 January 1924
I hereby certify that I attended deceased from 18 December 1923 to 09 January 1924, that I last saw him alive on 08 Janaury 1924, and that death occurred on the date stated above at 7 a.m.
Cause of death: Lobar pneumonia
Contributory: Uremic poisoning
Signature: M. M. Phillips, M.D.
Date signed: 09 January 1924
Place of Burial or Removal: Clear Fork Graveyard
Date of Burial: 10 January 1924
Undertaker: James Reynolds, Waynesburg, Ky.
Transcribed by Debbie Tamborski, 07 February 2010