Date 14 January 1929
Cert: 01280
Place of Death: Voting Pct.: Eastern State Hospital, Lexington, Fayette Co., Ky.
Full Name: Dotie Allen
Residence: Elmrock, Knott Co., Ky.
Length of Residence in city where death occurred: (blank)
Sex, Color or Race, Marital Status: Female, White, Single
Husband or Wife of: (blank)
Date of Birth: (blank)
Age: 22 years
Occupation: Servant (hired girl)
Birthplace: Knott Co., Ky.
Father Name: No record
Birthplace Father: "
Mother Maiden Name: "
Birthplace Mother: "
Informant/Address: Hospt. Records, Lexington, Ky.
Filed: 28 January 1929
Registrar: D. A. Furlong
Death of Date: 14 January 1929
I hereby certify that I attended deceased from 21 December 1919 [sic] to 14 January 1919, that I last saw her alive on 14 January 1929, and that death occurred on the date stated above at (blank)
Cause of Death: Tuberculosis of lungs
Duration: 02 years
Contributory: Manic Depressive Manic Type
Duration: 04 weeks
Where was disease contracted if not at place of death?: at her home
Did an operation precede death: no Date: none
Was there an autopsy: no
What test confirmed diagnosis: Examination & (illegible)
Signed/Address: S. F. Richardson, M.D., 14 January 1929, Eastern State Hospital
Place of Burial or Removal: Eastern State Hospital
Date of Burial: 1929
Undertaker/Address: E. S. Hospt., Lex., Ky.
Transcribed by Debbie Tamborski, 27 March 2010