Date:  03 August 1955
Cert:  #18755
Place of Death: County: Knott      City or Town: Lackey - Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Lackey - Rural    Street Address: (blank)
Full Name:  James OWENS
Date of Death:  03 August 1955
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  02 May 1898
Age: 57 years
Usual Occupation: Disable
Kind of Industry or business: Miner
Birthplace:  Knott Co., Ky.
Father's Name:  John ? OWENS (transcribed as written)
Mother's Maiden Name: ?Helen SLONE (transcribed as written)
Was deceased ever in armed forces: no
Social Security No.: 404-09-7788
Informant:  Mrs. James OWENS
Disease or condition directly leading to death: Carcinoma of lung
Interval between onset and death: ? 06 months (transcribed as written)
Due to:  (blank)
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 (blank) to (blank), that I last saw the deceased alive on (blank), and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  22 August 1955
Address:  Wayland, Ky.
Signature:  M. V. Wicker, M.D.
Burial, Cremation or Removal: Burial
Date:  05 August 1955
Name of Cemetery or Crematory:  Dyer Cemetery
Location:  Leburn, Ky.
Date received by local registrar:  01 September 1955
Registrar's Signature: Myrtle Slone
Funeral director & address:  John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 08 June 2011