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 |