Date: 13 June 1945
Cert: 13007
Place of Death: County: Knott City or
Town: Sassafras, Ky.
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: Sassafras, Ky.
Full Name: Sarah OWENS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Dewitt OWENS
Age of husband or wife if alive: 63 years
Birth date of deceased: (blank)
Age: 55 years
Birthplace: Knott Co., Ky.
Occupation: Housekeeper
Industry or business: Own home
Father Name: George PRIDEMORE
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Cinda ASHLEY
Mother Birthplace: Knott Co., Ky.
Informant: Willy COOK, Sassafras, Ky.
Burial Place: Emory Reedy Grave yard - Amburgy, Ky.
Date: 15 June 1945
Signature of funeral director: Earnest Owens - her son
took casket to above graveyard
Date received by local registrar: (blank)
Registrar's Signature: (blank)
Date of Death: 13 June 1945
I hereby certify that I attended deceased from 15 February
1942 to
13 June 1945, that I last saw him alive on 12 June 1945, and
that death occurred on the date stated above at 3:00 p.m.
Immediate cause of death: Pellegra & neurosthemia
Duration: (blank)
Due to: Pellegra
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. R. Aker, M.D., Anco, Ky.
Date signed: 15 June 1945
Transcribed by Debbie Tamborski, 15 November 2010 |