Date:    03 September 1948
Cert:    21270 
Place of Death: County: Knott   City or Town:  Lackey, Ky.
Name of Hospital or Institution: Stumbo Memorial Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.     County:  Floyd
City or Town:  Hippo 
Full Name:  Carolyn ALLEN 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Female, White, Single
Husband or Wife of:  Infant
Age of husband or wife if alive: (blank)
Birth date of deceased:   23 May 1948
Age: 03 months, 10 days
Birthplace:  Stumbo Memorial Hosp. 
Occupation:  (blank) 
Industry or business:  (blank)
Father Name:  Delmer ALLEN 
Father Birthplace:  Hippo, Ky. 
Mother Maiden Name:   Lurla OUSLEY 
Mother Birthplace:   Dock, Ky. 
Informant:   Delmer ALLEN, Hippo, Ky. 
Burial Place:   Hippo 
Date:  04 September 1948 
Signature of funeral director:  E. P. Arnold, Prestonsburg, Ky.
Date received by local registrar:  27 October 1948 
Registrar's Signature:  Rose B. Craft
Date of Death:  03 September 1948 
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death:  Toxemia 
Duration: (blank)
Due to:  Infectious diarrhea
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  C. M. Aker, M.D., Lackey, Ky.
Date signed: 25 October 1948
Note at bottom of page: 16 August 1948 Birth Cert. mailed for registration.
Transcribed by Debbie Tamborski, 22 December 2010