Date 14 January 1937
Cert: 5191
Name: James Ellis ALLEN
Place of Death: Voting Pct. Lackey, Stumbo M. Hosp., Knott Co., KY
Residence: Lackey, Ky.
Length of residence: (blank)
Male, White, Single
Husband or Wife of: (blank)
Birth Date: 15 August 1921
Age: 15 years, 05 months, 01 days
Occupation: (blank)
Place of Birth: Lackey, Ky.
Name of Father: Millard ALLEN
Birthplace Father: Northern, Ky.
Maiden Name of Mother: Bertie TRIPLETT
Birthplace Mother: Lackey, Ky.
Informant: Millard ALLEN, Lackey, Kentucky
Death Date: 14 January 1937
Cause of Death: Operation, Ruptured Appendix
Signed: W. L. Stumbo, M.D., Lackey, Ky.
Burial Place: Lackey, Ky.
Date of Burial: 15 January 1937
Undertaker: G. D. Ryan, Martin, Ky.
File Date: 26 February 1937
Registrar: Dr. G. C. Collins, Lackey, Ky.
Transcribed by Debbie Tamborski, 23 September 2009