DEATH CERTIFICATE

 OWEN SEALS

Date:   19 October 1941
Cert:   01764
Place of Death: County: Knott    City or Town: Bredding Creek
Street Number or Location:  Bath, Ky.
Length of stay in hospital or community: 30 yrs, 02 mos, 10 days
Usual Residence of Deceased: State: Ky.   County: Knott
City or Town:  Bath, Ky.
Full Name:  Owen SEALS
If Veteran Name War: (blank)
Social Security No.: 404-07-8255
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of:  Lyda SEALS
Age of husband or wife if alive:  27 years
Birth date of deceased:  09 July 1911
Age: 30 years, 02 months, 10 days
Birthplace:  (blank)
Occupation:  farming
Industry or business: (blank)
Father Name:  Millard SEALS
Father Birthplace:  (blank)
Mother Maiden Name:  Tonie SEALS
Mother Birthplace:  (blank)
Informant:  (blank)
Burial Place:  Stamper Cemetery
Date:  20 October 1941
Signature of funeral director: Coroner Ocie Bentley, McRoberts, Ky.
Date received by local registrar:  20 October 1941
Registrar's Signature:  Phena Slone
Date of Death:  19 October 1941
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death: Shot and killed
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: murdered
Date of occurrence: 19 October 1941
Where did injury occur: in home of Mattie Oliver
While at work: (blank)
Means of injury: Shot with gun
Signature & Address: Ocie BENTLEY, McRoberts
Date signed:  20 October 
Transcribed by Debbie Tamborski, 15 October 2010