Date 18 February 1912
Cert: # 5370
Name: Rose an ALLEN
Female, White, Married
Age:   31 years, 00 months, 00 days
Place of Death: Voting Precinct Lost Creek, Perry Co., KY
Birth Date: 01 January 1881
Occupation: Housewife
Place of Birth: Kentucky
Name of Father: Andy CONEWAY
Birthplace Father: Kentucky
Maiden Name of Mother: Huldy ENGLE
Birthplace Mother: Kentucky
Informant:   Wm. ALLEN, Ned, Ky.
Death Date: 18 February 1912
Cause of Death: Overwork or strain while in child barring [sic]
Signed:  Wm. Allen, husband of woman
Burial Place: Holleybush
Date of Burial: 19 February 1912
Undertaker: Jerry Shmith, acting, Ned, Ky.
File Date: 22 February 1912
Transcribed by Debbie Tamborski, 01 December 2008