Commonwealth of Kentucky Bureau of Vital Statistics Certificate of Death Place of Death: Bath Co. Ky. City: Bethel Name: George W. Perry Male, white, married. Name of wife: Jane Stewart Perry Age 82 Birth: 27 Feb 1859 Birthplace: Ky Date of Death: 23 Feb 1942 Occupation: Farmer Father: John Perry Birthplace: Ky Mother: Jane Call Birthplace: Ky Informant: Cyrus Perry Address: Sharpsburg, Ky R.R. 2 Burial: Bethel Cem. 25 Feb 1942 Funeral Dir. Shrout, Pipe, Shrout, Owingsville,Ky Immediate cause of death: Congestive heart failure Due to: Chr. pryocorditis (?) Senility Autopsy: None Sig: W C Graham, M.D., Flemingsburg, Ky