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DEATH
CERTIFICATE
NEVADA OWENS
Date: 11 December 1946
Cert: 25117
Place of Death: County: Bell City or Town:
Kay Jay Mountain
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Hazard
Full Name: Nevada OWENS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Divorced
Husband or Wife of: Raymond E. RICHIE
Age of husband or wife if alive: (blank)
Birth date of deceased: 12 February 1924
Age: 22 years, 09 months, 29 days
Birthplace: Knott Co., Ky.
Occupation: Waitress
Industry or business: Restaurant
Father Name: Dee OWENS
Father Birthplace: Ky.
Mother Maiden Name: Sarah PRIDEMORE
Mother Birthplace: Ky.
Informant: Ivory OWENS, Pineville, Ky.
Burial Place: Hazard, Ky.
Date: 14 December 1946
Signature of funeral director: W. J. Dunham, Pineville, Ky.
Date received by local registrar: 31 December 1946
Registrar's Signature: (illegible)
Date of Death: 11 December 1946
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 4 p.m.
Immediate cause of death: Gun shot wound
Duration: (blank)
Due to: High Sheriff J. J. Howard Bell County investigated
this case.
Other conditions: No inquest held
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: (illegible) Coroner,
Middlesboro, Ky.
Date signed: 02 January 1947
Transcribed by Debbie Tamborski, 10 June 2010 |
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