Date:   23 June 1941
Cert:   17946 
Place of Death: County: Knott     City or Town:  Brinkley
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County:  Knott
City or Town:  Brinkley
Full Name:  Doris Jean BENTLEY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Infant
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  23 June 1941
Age:  30 minutes
Birthplace:  Knott
Occupation:  (blank)
Industry or business: (blank)
Father Name:  J. E. BENTLEY
Father Birthplace:  Letcher Co.
Mother Maiden Name:  Matreva COMBS
Mother Birthplace:  Knott Co.
Informant:  J. E. BENTLEY, Brinkley, Ky.
Burial Place:  Knott Co.
Date:  24 June 1941
Signature of funeral director:  J. E. BENTLEY, Brinkley, Ky.
Date received by local registrar:  24 July 1941
Registrar's Signature:  Macie Miller
Date of Death:  23 June 1941
I hereby certify that I attended deceased from 23 June 1941 to (blank), that I last saw her alive on 23 June 1941, and that death occurred on the date stated above at 4 p.m.
Immediate cause of death:  Born before time
Duration: (blank)
Due to: Shock
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Susie Combs, Brinkley, Ky.
Date signed:  14 July
Transcribed by Debbie Tamborski, 11 October 2010