Date: 26 May 1946
Cert: 11627
Place of Death: County: Knott City or
Town: Rural
Street Number or Location: Carr Creek P.O.
Length of stay in hospital or community: 11 (illegible)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural Street No.:
(illegible)
Full Name: Owen SEALS
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: 26 June 1945
Age: 11 months, days
Birthplace: Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Nelson SEALS
Father Birthplace: Ky.
Mother Maiden Name: Lula STRONG
Mother Birthplace: Ky.
Informant: Nelson SEALS, Carr Creek, Ky.
Burial Place: Stamper (illegible)
Date: 27 May 1946
Signature of funeral director: (illegible)
Date received by local registrar: 29 May 1946
Registrar's Signature: Mrs. Rose B. Craft
Date of Death: 26 May 1946
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 9:40 p.m.
Immediate cause of death: (blank)
Duration: (blank)
Due to: (illegible) of bowels (Colen)
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: J. E. Hagan, M.D., Hazard, Ky.
Date signed: 27 May 1946
Transcribed by Debbie Tamborski, 14 December 2010 |