BATH COUNTY, KENTUCKY DEATH CERTIFICATE OF GEORGE W. PERGRAM FILE NUMBER 14210 REGISTERED NUMBER 28 REGISTRATION DISTRICT NUMBER 52 1a. Plce of death county: Bath 1b. Voter precinct: 5106 1c. Inc. Town: Salt Lick 2. Full name: George W. Pergram 3. Sex: male 4. Race: white 5. Single, married, widowed or divorced: married 6. Date of birth: 7-18-1851 7. Age: 59 years 11 months 11 days 8. Occupation: farmer 9. Birthplace: Bath County, Kentucky 10. Name of father: Enoch Pergram 11. Birthplace of father: Meinfee County 12. Maiden name of mother: Peggie Ann Montjoy 13. Birthplace of mother: Montgomery County 14. Informant: Joseph Crouch, Salt Lick, Kentucky 15 . Filed 7-6-1911 J. W. Pierce 16. Date of death. 6-29-1911 17. Cause of death: Diabetis Melitis 18. Length of residence: nothing listed 19. Place of burial: Pergram Cemetery 6-29-1911 20. Undertaker. W. R. Stephens, Salt Lick, Kentucky