Date: 24 June 1952
Cert: 17275
Place of Death: County: Knott
City or Town: Lackey
Length of stay (in this place): (blank)
Name of Hospital or Institution: Stumbo Memorial
Hospital
Usual Residence of Deceased: State: Kentucky
County: Floyd
City or Town: Estill, Ky. Street Address:
(blank)
Full Name: Millie Jane OWSLEY
Date of Death: 24 June 1952
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 04 March 1881
Age: 71 years
Usual Occupation: (blank)
Kind of Industry or business: Housewife
Birthplace: (blank)
Citizen of What Country: USA
Father's Name: (blank)
Mother's Maiden Name: (blank)
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Mrs. Maynard HOPKINS
Disease/condition directly leading to death: Coronary
occlusion
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
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 17 June 1952 to
24 June 1952, that I last saw the deceased alive on 24 June
1952, and
that death occurred at 11 p.m., from the causes and on the
date stated above.
Date signed: 05 August 1952
Address: Lackey, Ky.
Signature: C. M. Aker, M.D.
Burial, Cremation or Removal: Burial
Date: 27 June 1952
Name of Cemetery or Crematory: (blank)
Location: East Point, Kentucky
Date received by local registrar: 08 August 1952
Registrar's Signature: Rose B. Craft
Funeral director & address: Collier & Cook, by David
Cook, Whitesburg, Ky.
Transcribed by Debbie Tamborski, 26 January 2011 |