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Carrie Lee Warner
b.28 Feb 1884 Bath County, Kentucky
d.25 Jan 1962 Owingsville, Bath County, Kentucky
Family tree▼ (edit)
m. 28 Jan 1883
(edit)
m. 26 Dec 1907
Facts and Events
Kentucky death record: Place-BATH Volume-005 Cert-02061 Deathvol-62 BATH COUNTY, KENTUCKY DEATH CERTIFICATE File number: 116 62 2061 Registrar's number: 9 Registration district number: 50 Primary registration district number: 2025 1.Place of death a. County: Bath b. City or town: Owingsville c. Length of stay in this place: nothing listed d. Full name of hospital or institution: none listed 2. Usual residence a. State: Kentucky b. County: Bath c. City or town: Owingsville Is residence on a farm: no d. Street address: none listed Is residence inside city limits: yes 3. Name of deceased a. First: Carrie b. Middle: Warner c. Last: Staton 4. Date of death: January 25, 1962 5. Sex: female 6. Color or race: white 7. Married, never married, widowed or divorced: married 8. Date of birth: February 28, 1884 9. Age: 77 10a. Usual occupation: housewife 10b. Kind of business or industry: nothing listed 11. Birthplace: Bath County, Kentucky 12. Citizen of what country: USA 13. Father's name: Andy Warner 14. Mother's maiden name: Betty Reynolds 15. Was deceased ever in U.S. Armed Forces: no 16. Social security number: nothing listed 17. Informant: Mrs. Ray Manley 18. Cause of death: a. Immediate cause: diabetic acedoris b. Due to: diabetic mellitus uncontrolled c. Due to: nothing listed 19. Was autopsy performed: no 20. Accident, suicide, or homicide: nothing marked 21a. Describe how injury occurred: nothing listed 21b. Time of injury: nothing listed 22. I hereby certify that I attended the deceased from July 1961 to January 1962 that I last saw the deceased alive January 25, 1962 and that death occurred at 5:00 PM from the causes and on the date stated above. 23a. Date signed: January 26, 1962 23b. Address: Owingsville, Kentucky 23c. Signature: Edwin R. Davis MD 24a. Burial, cremation, removal: burial 24b. Date: January 27, 1962 24c. Name of cemetery or crematory: Owingsville 24d. Location: Owingsville, Kentucky 25a. Date received by local registrar: January 27, 1962 25b. Registrar's signature: Lena R. Brooks 26. Funeral director: Fred Keal, Keal Funeral Home, Owingsville, Kentucky References
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