Bath County, Kentucky death certificate of John Jacob Warner

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Date: Sun, 26 Jan 2003
Darrell Warner
From: http://www.genrecords.net/emailregistry/vols/00001.html#0000008
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BATH COUNTY, DEATH CERTIFICATE INFORMATION
Registration district number: 50
Primary registration district number: 2025
State File number: 50 6498
Registrar's number: 103
Full name: John Warner
1. Place of death
  a. County: Bath
  b. City or town: Owingsville
  c. Length of stay: nothing listed
  d. Full name of hospital or institution: nothing listed
2. Residence
  a. State: Kentucky
  b. County: Bath
  c. City or town: Owingsville
  d. Street address: nothing listed
3. Name of deceased
  a. First: John
  b. Middle : nothing listed
  c. Last: Warner
4. Date of death: April 4, 1950
5. Sex: male
6. Color or race: white
7. Married, never married, widowed or divorced: widowed
8. Date of birth: February, 14, 1874
9. Age: 76 years 2 months 10 days
10. Usual occupation: farmer
11. Birthplace: Kentucky
12. Citizen of what country: USA
13. Name of father: Jacob Warner
14. Name of mother: Matlie Shultz
15. Was deceased ever in U.S. Armed Forces: nothing listed
16. Social security number: nothing listed
17. Informant: Luther Warner
18. Cause of death:
  a. Disease or condition directly leading to death: cardiac failure
  b. Due to coronary artery disease
  c. Due to: nothing listed
  d. Other significant conditions: nothing listed
19. Date of operation: nothing listed
20. Was autopsy performed: no
21. Accident, suicide or homicide: nothing listed
22. I hereby certify that I attended the deceased from April 24, 1950 to 
April 24, 1950, that I last saw the deceased alive on April 24, 1950, and 
that death occurred at 9:00 AM, from causes stated above.
23a. Date signed: nothing listed
23b. Address: Owingsville
23c. Signature: Robin A. Byron MD
24a. Burial, cremation or removal: burial
24b. Date of burial: 4-27-950
24c. Name of Cemetery or crematory: Warner Graveyard
24d. Location: Bath County, Kentucky
25a. Date received by local registrar: 4-28-1950
25b. Registrar: Mrs. Pearl Brother Dotson
26. Funeral director: Barnes and Reynolds, Owingsville, Kentucky