DEATH CERTIFICATE

LEVI STANDIFORD

Date 10 January 1912
Cert: #  5782 
Name:  Levi STANDIFORD
Male, White, Married
Age:  35 years
Place of Death: Voting Precinct #4 Hazard, Perry Co., KY
Birth Date:  1877 
Occupation:  Farmer 
Place of Birth:  Hazard, Ky. 
Name of Father:  Watt STANDIFORD 
Birthplace Father:  Hazard, Ky. 
Maiden Name of Mother:  Elizabeth HALL 
Birthplace Mother:  Hazard, Ky. 
Informant:  (blank) 
Death Date:  10 January 1912 
Cause of Death:  Gunshot wound (killed instantly)
Signed:  Taylor Hurst, M.D.
Burial Place:  On Pigeon Roost Creek 
Date of Burial:  12 January 1912 
Undertaker:  (blank) 
File Date:  16 January 1912 
Transcribed by Debbie Tamborski, 03 December 2008