DEATH CERTIFICATE

CORA ALLEN

Date  17 October 1940
Cert:  24245 
Place of Death: County: Knott Co.    City or Town: Lackey
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.    County: Floyd
City or Town:  Martin, Ky.
Full Name:  Cora ALLEN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Single (with married underlined)
Husband or Wife of:   Marion ALLEN
Age of husband or wife if alive:  60 years
Birth date of deceased:  11 March 1881
Age: 59 years, 07 months, 06 days
Birthplace:  Salisbury, Ky.
Occupation:  Domestic
Industry or business: (blank)
Father Name:  Alex L. STUMBO
Father Birthplace:  McDowell, Ky.
Mother Maiden Name:  Louisa SALISBURY
Mother Birthplace:  Hunter, Ky.
Informant/Address:  Marion ALLEN, Printer, Ky.
Burial Place: Printer
Date:  21 October 1940
Signature of funeral director/Address: G. D. Ryan, Martin, Ky.
Date received by local registrar:  29 October 1940
Registrar's Signature:  Macie Miller
Date of Death:  17 October 1940
I hereby certify that I attended deceased from 01 October 1940  to 17 October 1940, that I last saw her alive on 17 October 1940, and that death occurred on the date stated above at 11:15 a.m.
Immediate cause of death: Sugar Diabetes
Duration: (blank)
Due to: (blank)
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:  W. L. Stumbo, M.D., Martin, Ky.
Date signed:  (blank)
Transcribed by Debbie Tamborski, 16 August 2010