Rowland Hodge
Submitted by: Kathy Hines
Kentucky Certificate of
Death - marked "DELAY"
Registration District No. 6515
Primary Registration District No. 6515
File No. 28098
Registered No. 3
County Laurel Co., KY
Vot. Pct.: Lily
City or town:
Full Name: Rowland Hodge
Sex: M
Color: White
Marital Status: Single
Date of Birth of deceased: May 25, 1918
Age: yrs, 10 mos., 28 dys.
Occupation: none
Birthplace: Ky
Name of Father: S.W. Hodge
Birthplace of Father: Ky
Maiden Name of Mother: Mossie Broyls
Birthplace of Mother: Tenn
Informant's own signature: Mossie Hodge
(Address) Lily Ky
Filed: Apr 24, 1919 J.G. Owsley Registrar
[right hand column of the
death certificate]
Date of Death: April 23, 1919
I Hereby Certify That I attended deceased from April 20,
1919 to April 23, 1919. I last saw him
alive on April 22, 1919, and that death occurred on the
date stated above, at 7 Am.
Cause of Death: Lobar Pneumonia
Due to:
Duration: 4 ds.
(Signed) J. G. Owsley, M.D.
(Address) Lily Ky Date Signed: April 24, 1919
Burial, cremation, or removal: Lily Date of burial: Apr
24, 1919
Undertaker: C.B. Gilbert
(Address) Lily Ky