Date: 28 July 1944
Cert: 23018
Place of Death: County: Knott City or
Town: Vest, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Vest, Ky. Rural
Full Name: Donald OWSLEY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 20 January 1944
Age: 06 months, 08 days
Birthplace: Vest, Knott Co., Ky.
Occupation: None
Industry or business: None
Father Name: Lewis OWSLEY
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Ida GIBSON
Mother Birthplace: Knott Co., Ky.
Informant: (blank)
Burial Place: Vest, Ky.
Date: 29 July 1944
Signature of funeral director: Friends & Relatives,
Vest, Ky.
Date received by local registrar: 28 October 1944
Registrar's Signature: Ida Livingston Rose
B. Craft Acting Registrar
Date of Death: 28 July 1944
I hereby certify that I attended deceased from 28 July 1944 to
28 July 1944, that I last saw him alive on 28 July 1944, and
that death occurred on the date stated above at 11 a.m.
Immediate cause of death: Poliomyelitis
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: 06 November 1944
Transcribed by Debbie Tamborski, 15 November 2010 |