Date:  14 March 1941
Cert:   10605 
Place of Death: County: Knott     City or Town: Lackey, Ky.
Name of Hospital or Institution: Stumbo Mem. Hosp.
Length of stay in hospital or community: 02 days
Usual Residence of Deceased: State: Ky.      County: Breathitt
City or Town:  Will Stacy, Ky.
Full Name:  Burna ALLEN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of:  Ellsora ALLEN
Age of husband or wife if alive:  44 years
Birth date of deceased:  24 November 1898
Age: 42 years, 03 months, 20 days
Birthplace:  Breathitt Co., Ky.
Occupation:  Farmer
Industry or business: (blank)
Father Name:  John Morgan ALLEN
Father Birthplace:  Magoffin Co., Ky.
Mother Maiden Name:  Katy CLEMONS
Mother Birthplace:  Breathitt Co., Ky.
Informant:  Ethel CLEMONS, Lackey, Ky.
Burial Place:  Will Stacy, Ky.
Date:  15 March 1941
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar:  08 April 1941
Registrar's Signature:  Macie Miller
Date of Death:  14 March 1941
I hereby certify that I attended deceased from 13 March 1941 to 14 March 1941, that I last saw him alive on 14 March 1941, and that death occurred on the date stated above at 3:00 p.m.
Immediate cause of death:  (blank)
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide:  Homicide
Date of occurrence: 13 March 1941
Where did injury occur: home
While at work: no
Means of injury: gun
Signature & Address: W. L. Stumbo, M.D., Lackey, Ky.
Date signed:  (blank)
Transcribed by Debbie Tamborski, 08 October 2010