Date: 20 October 1947
Cert: 24764
Place of Death: County: Knott City or
Town: Lackey
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Hueysville
Full Name: Otis ALLEN
If Veteran Name War: (blank)
Social Security No.: 406-03-2304
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Clara ALLEN
Age of husband or wife if alive: 27 years
Birth date of deceased: 12 July 1913
Age: 34 years, 03 months, 08 days
Birthplace: Knott Co., Ky.
Occupation: Miner (Coal)
Industry or business: (blank)
Father Name: Bud DOBSON
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Millie ALLEN
Mother Birthplace: Knott Co., Ky.
Informant: Clara ALLEN, Hueysville, Ky.
Burial Place: Hueysville, Ky.
Date: 21 October 1947
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 14 November 1947
Registrar's Signature: Rose B. Craft
Date of Death: 20 October 1947
I hereby certify that I attended deceased from 19 October 1947 to
20 October 1947, that I last saw him alive on 20 Octobe 1947, and that death
occurred on the date stated above at 4:00 a.m.
Immediate cause of death: Cerebral Embolism Shock
Compound Fracture Left Leg
Duration: 09 hours
Due to: Injuries received in automobile accident
Other Conditions: none
Major findings of operations: Compound fracture left leg
Of Autopsy: none done
Accident, suicide, or homicide: accident
Date of occurrence: 7 p.m. 19 October 1947
Where did injury occur: Highway 80, Leburn, Ky.
While at work: no
Means of injury: automobile
Signature & Address: C. M. Aker, M.D., Stumbo Mem. Hosp.,
Lackey, Ky.
Date signed: 13 November 1947
Transcribed by Debbie Tamborski, 16 December 2010 |