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DEATH
CERTIFICATE
MILTON OWENS
Date: 24 December 1940
Cert: 02296
Place of Death: County: Knott City or Town:
Pippapass
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Hindman
Full Name: Milton OWENS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Rachel OWENS
Age of husband or wife if alive: 68 years
Birth date of deceased: 01 November 1859
Age: 81 years
Birthplace: Perry Co.
Occupation: Farmer
Industry or business: (blank)
Father Name: Vincent OWENS
Father Birthplace: Ky.
Mother Maiden Name: Lucinda JOHNSON
Mother Birthplace: Ky.
Informant/Address: Elijah OWENS, Pippapass, Ky.
Burial Place: Owens Grave
Date: 26 December 1940
Signature of funeral director/address: none
Date received by local registrar: 31 January 1941
Registrar's Signature: Macie Miller
Date of Death: 24 December 1940
I hereby certify that I attended deceased from 01 December
1940 to
24 December 1940, that I last saw him alive on 24 December
1940, and that death occurred on the date stated above at
10:00 p.m.
Immediate cause of death: Senility
Duration: (blank)
Due to: Pneumonia - Lobar
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. W. Duke, M.D., Hindman, Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 28 August 2010 |
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