DEATH CERTIFICATE

ANN ALLEN

Date  18 June 1923
Cert: #  18827
Name:  Ann ALLEN
Place of Death: Voting Precinct Tiny, Knott Co., KY
Female, White, Married
Birth Date: 10 April 1897
Age: 26 years, 02 months, 08 days
Occupation:  Housewife
Place of Birth:  Knott Co., Ky.
Name of Father:  Newton ALLEN
Birthplace Father:  Kentucky
Maiden Name of Mother:  Sissie EVERIDGE
Birthplace Mother:  Kentucky
Informant:  (blank)
Death Date:  18 June 1923
Cause of Death:  Pulmonary tuberculosis
Signed:  M. F. Kelley
Burial Place:  Everidge Cemetery
Date of Burial:  19 June 1923
Undertaker:  William Everidge, Tiny, Ky.
File Date:  30 July 1923
Transcribed by Debbie Tamborski, 05 December 2008