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DEATH
CERTIFICATE
(Stillbirth) OWENS
Date 20 January 1917
Cert: # 11631
Name: (stillbirth) OWENS
White, Single
Age: Stillbirth
Place of Death: Voting Precinct #7 Caney, Knott Co., KY
Birth Date: 20 January 1917
Occupation: (blank)
Place of Birth: Knott County
Name of Father: Alvy OWENS
Birthplace Father: Knott County
Maiden Name of Mother: Matilda SLONE
Birthplace Mother: Knott County
Informant: Milton OWENS, Raven, Ky.
Death Date: 20 January 1917
Cause of Death: Stillbirth
Signed: M. F. Kelley, M.D.
Burial Place: R. G. Sparkman Cemetery
Date of Burial: January 1917
Undertaker: J. C. Owens, Mallie, Ky.
File Date: 10 May 1917
Transcribed by Debbie Tamborski, 16 November 2008 |
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