Date 08 April 1928
Cert: # 13119
Name: Reza ALLEN
Place of Death: Vot. Pct. #18 Upper Caney, Pippapass, Knott Co., KY
Female, White, Single
Birth Date: 08 August 1910
Age: 18 years, 08 months, 24 days
Occupation: School girl
Place of Birth: Knott Co., Ky.
Name of Father: Sam ALLEN
Birthplace Father: Ky.
Maiden Name of Mother: Rhoda REYNOLDS
Birthplace Mother: Knott Co., Ky.
Informant: (blank)
Death Date: 08 April 1928
Cause of Death: Labor pneumonia
Signed: M. F. Kelley, M.D.
Burial Place: Howard Cemetery
Date of Burial: 09 April 1928
Undertaker: Sam Allen, Pippapass, Ky.
File Date: 28 May 1928
Transcribed by Debbie Tamborski, 05 December 2008