Date: 16 August 1949
Cert: 21234
Place of Death: County: Knott
City or Town: Richie
Length of stay (in this place): (blank)
Name of Hospital or Institution: ? (transcribed as written)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Richie Street Address:
(blank)
Full Name: Darcus OWENS
Date of Death: 16 August 1949
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 11 January 1896
Age: 53 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Knott
Father's Name: Martin FULLER
Mother's Maiden Name: Nancy Ann RICHIE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Benjman OWENS
Disease or condition directly leading to death: Cancer
of Gall Bladder
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 25 August 1947 to
11 August 1949, that I last saw the deceased alive on 11
August 1949, and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 06 September 1949
Address: Hazard, Ky.
Signature: J. E. Hagan, M.D.
Burial, Cremation or Removal: Burial
Date: 18 August 1949
Name of Cemetery or Crematory: Family
Location: Knott, Ky.
Date received by local registrar: 01 October 1949
Registrar's Signature: Mrs. Rose B. Craft
Funeral director & address: Engle's, Hazard, Ky.
Transcribed by Debbie Tamborski, 07 January 2011 |