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DEATH
CERTIFICATE
MONIE OWENS
Date 15 December 1916
Cert: # 30989
Name: Monie OWENS
Female, White, Single
Age: 03 years, 04 months, 03 days
Place of Death: Voting Precinct #7, Caney, Knott Co., KY
Birth Date: 12 August 1913
Occupation: At home
Place of Birth: Knott Co., Ky.
Name of Father: William P. OWENS
Birthplace Father: Ky.
Maiden Name of Mother: Synthe Ann SLONE
Birthplace Mother: Ky.
Informant: Joe HALL, Hollybush, Ky.
Death Date: 15 December 1916
Cause of Death: Membranous croup
Signed: E. F. King, M.D.
Burial Place: Lee Watson Cemetery
Date of Burial: 16 December 1916
Undertaker: Joe Hall, Hollybush, Ky.
File Date: 18 December 1916
Transcribed by Debbie Tamborski, 16 November 2008 |
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