Date 02 February 1941
Cert: 05785
Place of Death: Voting Pct. Hazard, Perry Co., Ky.
Full Name: Dorthy ALLEN
Residence: Sassafras, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Female, White, (blank)
Husband or Wife of: (blank)
Date of Birth: 07 November 1940
Age: 03 months
Occupation: (blank)
Birthplace: Sassafras, Ky.
Father Name: Victor ALLEN
Birthplace Father: Magoffin Co., Ky.
Mother Maiden Name: Alice TOLLIVER
Birthplace Mother: Pine Top, Ky.
Informant/Address: Victor ALLEN, Sassafras, Ky.
Burial Cremation Removal Place: Cornettefill
Date: 03 February 1941
Undertaker/Address: William S. Norris, Hazard, Ky.
Filed: 07 February 1941
Registrar: Kathryn S. Johnson
Death of Date: 02 February 1941
I hereby certify, That I attended deceased from 21 January 1941 to 02 February 1941, that I last saw her alive on 02 February 1941, death is said to have occurred on the date stated above, at 4:30 p.m.
Cause of Death: Meningitis (pneumococcal)
Date of onset: 30 January
Contributory causes: Bronchial pneumonia
Date of Onset: 19 January
Name of operation: None
What test confirmed diagnosis: Spinal (illegible)
Accident, suicide, homicide: no
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place: No
Manner of injury: No
Nature of injury: (blank)
Related to occupation: No
Signed/Address: (illegible) S. Jackson, M.D., Hazard, Ky.
Transcribed by Debbie Tamborski, 12 May 2010