Date:    15 December 1947
Cert:    27128 
Place of Death: County: Knott   City or Town:  Pippapass, Ky.  Rural
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:  Pippapass     Rural 
Full Name:  Patritian Ann OWENS 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Female, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  08 October 1947 
Age: 02 months, 07 days
Birthplace:  Knott Co., Ky. 
Occupation:  None 
Industry or business:  (blank)
Father Name:  Charles M. OWENS 
Father Birthplace:  Knott Co. 
Mother Maiden Name:   Mary Alice SOWARDS 
Mother Birthplace:   Floyd Co., Ky. 
Informant:   Charles M. OWENS, Pippapass 
Burial Place:   Pippapass 
Date:  16 December 1947 
Signature of funeral director:  None
Date received by local registrar:  15 December 1947 
Registrar's Signature:  Rose B. Craft
Date of Death:  15 December 1947 
I hereby certify that I attended deceased from 15 December 1947 to 15 December 1947, that I last saw him alive on 15 December 1947, and that death occurred on the date stated above at 7 a.m.
Immediate cause of death:  Lobar pneumonia
Duration: (blank)
Due to:  (blank)
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:  M. F. Kelley, M.D., Hindman, Ky.
Date signed:  15 December 1947 
Transcribed by Debbie Tamborski, 20 December 2010