DEATH CERTIFICATE

HARGUS OWENS

Date 22 July 1930
Cert: # Original:  17606  Duplicate: 18184
Name:  Hargus OWENS
Place of Death: Voting Pct. #15, Knott Co., KY
Male, White, Child
Husband or Wife of:  (blank)
Birth Date:  24 July 1929
Age: 11 months, 28 days
Occupation:  none
Place of Birth: Knott
Name of Father:  Ernest H. OWENS
Birthplace Father:  Kentucky 
Maiden Name of Mother:  Manetta CORNETT
Birthplace Mother:  Kentucky
Informant:  S. K. CORNETT, Sassafras, Ky.
Death Date:  22 July 1930
Cause of Death:  Inflammation of stomach
Signed: Guy C. Pinckley, M.D.
Burial Place:  Cornett Cemetery
Date of Burial:  (blank)
Undertaker:  Ernest H. Owens, Sassafras, Ky.
File Date: 03 August 1930 
Transcribed by Debbie Tamborski, 24 June 2009