DEATH CERTIFICATE
LISEY JANE OWENS

Date    02 June 1913
Deathvol Vol:   1913
Cert: #  17502
Name:  Lisey Jane OWENS
Female, White, Single
Age:  4 months, 10 days
Place of Death: Voting Pct. No. 6, Knott Co., KY
Birth Date:  06 February 1913
Place of Birth:  Kentucky
Father:  Harvey OWENS                                                   Birthplace Father:  Kentucky
Mother:  Elisebeth HUDSON                                                     Birthplace Mother:  Ky.
Informant:  Not Listed
Death Date:  02 June 1913
Cause of Death:  Pneumonia of the lungs
Signed:  M. F. Kelley, M.D.
Burial Place:  Smith Cemetery
Undertaker:  Harvey Owens, Cordia, Ky.
File Date: 12 June 1913
Transcribed by Debbie Tamborski, 23 July 2008