Date: 24 August 1949
Cert: 19074
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: Stumbo Mem.
Usual Residence of Deceased: State: Ky.
County: Pike
City or Town: Rural If rural
give precinct: Speight, Ky.
Full Name: Douglas Gene OWENS
Date of Death: 24 August 1949
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth: 28 July 1949
Age: 27 days
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Floyd Co., Ky.
Father's Name: Ralph OWENS
Mother's Maiden Name: Mollie OWENS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Mrs. Mollie OWENS
Disease or condition directly leading to death:
Pseudomonas Enteritis
Interval between onset and death: (blank)
Due to: Malnutrition
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
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 23 August 1949 to
24 August 1949, that I last saw the deceased alive on 24
August 1949, and
that death occurred at 2 p.m., from the causes and on the
date stated above.
Date signed: 01 September 1949
Address: Lackey, Ky.
Signature: Robert D. Eastridge, M.D.
Burial, Cremation or Removal: Burial
Date: 26 August 1948 (transcribed as written)
Name of Cemetery or Crematory: Perkin Cemetery
Location: Leburn, Ky.
Date received by local registrar: 05 September 1949
Registrar's Signature: Rose B. Craft
Funeral director/address: Hindman Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 07 January 2011 |