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BATH COUNTY, KENTUCKY DEATH CERTIFICATE State file number: 50 18781 Registrar's number: 106 Registration district number: 50 Primary registration district number: 4081 1. Place of death a. County: Bath b. City or town: Rural Owingsville c. Length of stay: life d. Full name of hospital or institution: nothing listed 2. Usual residence a. State: Kentucky b. County: Bath c. City or town: Owingsville Rt. #1 d. Street address: nothing listed 3. Name of deceased: Espie L. Warner 4. Date of death: May 4, 1950 5. Sex: male 6. Color or race: white 7. Married, never married, widowed or divorced: married 8. Date of birth: January 3, 1896 9. Age: 54 years 4 months 1 day 10a. Usual occupation: nothing listed 10b. Kind of business or industry: farmer 11. Birthplace: Kentucky 12. Citizen of what country: U. S. A. 13. Father's name: unknown 14. Mother's maiden name: Fenton Warner 15a. Was deceased ever in U. S. Armed forces: yes 15b. If yes give war or date of service: World War I 16. Social security number: 309-16-0245 17. Informant: Marie Warner 18. Cause of death: External accident due to deceased died from 22 rifle bullet in right temple. 19. Date of operation: nothing listed 20. Was autopsy performed: no 21a. Accident, suicide or homicide: accident 21b. Place of injury: home 21c. City or township: Owingsville R. R. I, Bath County, Kentucky 21d. Time of injury May 4, 1950 at 2:30 PM 21e. Injury occurred: not while at work 22. I hereby certify that I attended the deceased from (nothing listed) to (nothing listed), that I last saw the deceased alive on (nothing listed) and that death occurred at (nothing listed) from the causes and on the date stated above. 23a. Date signed: may 4, 1950 23b. Address: Owingsville, Kentucky 23c. Signature: Joe Bailey Coroner Bath County 24a. Burial, cremation or removal: burial: 24b. Date of burial: May 6, 1950 24c. Name of cemetery: Owingsville Cemetery 24d. Location: Owingsville, Kentucky 25a. Date received by local Registrar: May 8, 1950 25b. Registrar's Signature: Pearl Brooks 26. Funeral director: Shrout, Piper & Shrout of Owingsville, Kentucky References
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