DEATH CERTIFICATE

OTIS ALLEN

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