Date:  05 March 1941
Cert:   10594 
Place of Death: County: Knott Co.    City or Town: Sassafras
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Sassafras
Full Name:  Eli ALLEN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of:  Margaret ALLEN
Age of husband or wife if alive:  67 years
Birth date of deceased:  09 February 1868
Age: 72 years
Birthplace:  Knott Co.
Occupation:  Farmer
Industry or business: (blank)
Father Name:  Ira ALLEN
Father Birthplace:  Breathitt Co.
Mother Maiden Name:  Vina MULLINS
Mother Birthplace:  Virginia
Informant:  Victor ALLEN, Sassafras
Burial Place:  Sassafras
Date:  06 March 1941
Signature of funeral director: (blank)
Date received by local registrar:  22 April 1941
Registrar's Signature:  Macie Miller
Date of Death:  05 March 1941
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:  Pneumonia (lobar)
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:  J. R. Akers, M.D., Allock, Ky.
Date signed:  21 April 1941
Transcribed by Debbie Tamborski, 08 October 2010