Bath County, Kentucky death certificate of Jonas R. 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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KENTUCKY DEATH RECORD
Registration district number: 50
Primary registration district number: can't read
File Number: 11651
Registrar's number: can't read
1. Place of death
  a. Bath
  b. City or town: rural Owingsville
  c. Length of stay: nothing listed
  d. Full name of hospital or institution: nothing listed
2. Usual residence
  a. State: Kentucky
  b. County: Bath
  c. City or town: rural Owingsville
  d. Street address: RR 1
3. Name of deceased
  a. First: Jonas
  b. Middle: nothing listed
  c. Last: Warner
4. Date of death: April 21, 1951
5. Sex: male
6. Color or race: white
7. Single married widowed or divorced: single never married
8. Date of birth: April 10, 1888
9. Age 63
10. Usual occupation: farmer
11. Birthplace: Bath County, Kentucky
12. Citizen of what country: USA
13. Father's name: Warren Warner
14. Mother's maiden name: Martha J. Ulery
15. Was deceased ever in U.S. Armed Forces: no
16. Social security number: nothing listed
17. Informant: Mrs. Espie Warner
18. Cause of death
  a. Disease or condition directly leading to death: congestive heart 
failure
  b. Due to: arteriosclerosis
  c. Due to: 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 March 15, 1951 
to April 21, 1951, that I saw the deceased alive on April 21, 1951 and 
that death occurred at 8:00 PM from the causes and on the date stated above.
23a. Date signed: 4-22-1951
23b. Address: Owingsville
23c. Signature: Robin A. Byron MD
24a. Burial, cremation or removal: burial
24b. Date: April 23, 1951
24c. Name of Cemetery: Old Virginia Cemetery
24d. Location: Owingsville, Bath County, Kentucky RR 3
25a. Date received by local registrar: can't read
25b. Registrars signature: can't read
26. Funeral director: Shrout, Piper and Shrout of Owingsville, Kentucky