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DEATH
CERTIFICATE
BARGENE BOWLING
Date 04 July 1949
Cert: 21700
Place of Death: County: Perry City or Town: Hazard
Length of stay in hospital or community: (blank)
Name of Hospital or Institution: Mt. Mary
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Litcar
Full Name: Bargene BOWLING
Date of Death: 04 July 1949
Sex, Color or Race, Marital Status: Male, White, Single
Date of Birth: 28 January 1939
Age: 10 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Knott
Father's Name: Granville BOWLING
Mother's Maiden Name: Molly COUCH
Was deceased in ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Granville BOWLING
Disease or condition directly leading to death: Shock &
Trauma, front skull, fract. femur & (illegible) Rt.
Due to: (blank)
Interval between onset and death: 01 day
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (blank)
Accident, suicide, or homicide: accident
Place of injury: Street
City or Town, County, State: Littcarr, Knott, Ky.
Time of Injury: 04 July 1949
Injury occurred at work: (blank)
How did injury occur: Auto accident, pedestrian struck
by auto
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank), from the causes
and on the date stated above.
Date signed: (blank)
Address: Hazard, Ky.
Signature: W. O'Donnell
Burial, Cremation or Removal: Burial
Date: 06 July 1949
Name of Cemetery or Creamatory: Litcar
Location: Knott Co., Ky.
Date received by local registrar: 25 August 1949
Registrar's Signature: Helen C. Burriss
Funeral director and address: Engle's, Hazard, Ky.
Transcribed by Debbie Tamborski, 15 February 2010 |
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