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DEATH
CERTIFICATE
LAVA WADDLE OWENS
Date 19 March 1933
Cert: 13524
Place of Death: Voting Pct.: Prestonsburg, Floyd Co.,
Ky.
Full Name: Lava WADDLE OWENS
Residence: (blank)
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: A. B. OWENS
Date of Birth: 24 September 1903
Age: 29 years, 05 months, 25 days
Occupation: Housewife
Birthplace: Knott County, Ky.
Father Name: William WADDLE
Birthplace Father: Floyd County, Ky.
Mother Maiden Name: Rosa SLOAN
Birthplace Mother: Knott County, Ky.
Informant/Address: William WADDLE, Mousie, Ky.
Burial Cremation Removal Place: Mousie
Date: 21 March 1933
Undertaker/Address: E. P. Arnold
Filed: 15 June 1933
Registrar: Belle Gardner
Death of Date: 19 March 1933
I hereby certify, That I attended deceased from 05 March 1933 to
12 March 1933, that I last saw her alive on 12 March 1933, death is said
to have occurred on the date stated above, at 4:40 p.m.
Cause of Death: Broncho Pneumonia - 03 days duration
Date of onset: (blank)
Contributory causes: Primary (illegible) - 06 weeks duration
Name of operation: (blank)
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: No
Signed/Address: A. J. Davidson, M.D.
Transcribed by Debbie Tamborski, 02 April 2010 |
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