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DEATH
CERTIFICATE
JEFFERY OWENS
Date: 30 April 1949
Cert: 11480
Place of Death: County: Floyd City or Town:
Estill
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Estill Street Address: (blank)
Full Name: Jeffery OWENS
Date of Death: 30 April 1949
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth: 15 September 1922
Age: 27 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Leburn, Ky.
Father's Name: Walter OWENS
Mother's Maiden Name: Patsy JOHNSON
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Walter OWENS
Disease or condition directly leading to death: Abscess
of brain
Interval between onset and death: 02 months
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 01 April 1949 to
30 April 1949, that I last saw the deceased alive on 30 April
1949, and
that death occurred at 8 a.m. from the causes and on the
date stated above.
Date signed: (blank)
Address: Wayland, Ky.
Signature: M. V. Wicker, M.D.
Burial, Cremation or Removal: Burial
Date: 01 May 1949
Name of Cemetery or Crematory: Family Cem.
Location: Garner, Ky.
Date received by local registrar: 27 June 1949
Registrar's Signature: Lucy Ransdell
Funeral director & address: G. D. Ryan, Martin, Ky.
Transcribed by Debbie Tamborski, 13 July 2010 |
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