Date: 24 November 1954
Cert: 26465
Place of Death: County: Knott
City or Town: Pippapass - Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Pippapass - Rural If rural give
location:
(blank)
Full Name: William P. OWENS
Date of Death: 24 November 1954
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 26 July 1866
Age: 88 years
Usual Occupation: Farmer
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: Vence OWENS
Mother's Maiden Name: (blank)
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Fred SPARKMAN
Disease or condition directly leading to death: cerebral
vascular injury
Interval between onset and death: 24 hours
Due to (b): arteriosclerosis
Interval between onset and death: unknown
Due to (c): senility
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 22 November
1954 to
24 November 1954, that I last saw the deceased alive on ? (transcribed
as written), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 14 February 1955
Address: Hindman, Ky.
Signature: D. G. Barker, M.D.
Burial, Cremation or Removal: Burial
Date: 26 November 1954
Name of Cemetery or Crematory: Noah Watson Cemetery
Location: Pippapass, Ky.
Date received by local registrar: 18 February 1955
Registrar's Signature: Myrtle Slone
Funeral director & address: John Everage, Hindman,
Ky.
Transcribed by Debbie Tamborski, 23 February 2011 |