Date:   11 November 1943
Cert:   15286 
Place of Death: County: Knott  City or Town: Lackey, Ky. Rural
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky  County: Knott
City or Town:  Garner  Rural
Full Name:  Lois BENTLEY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  May 1942
Age: 01 years, 06 months
Birthplace:  (blank)
Occupation:  (blank)
Industry or business: (blank)
Father Name:  Clinton BENTLEY
Father Birthplace:  Kentucky
Mother Maiden Name:  (blank)
Mother Birthplace:  (blank)
Informant:  Stumbo Mem. Hosp., Lackey, Ky.
Burial Place:  Garner, Ky.
Date:  12 November 1943
Signature of funeral director: Friends, Garner, Ky.
Date received by local registrar:  27 March 1945
Registrar's Signature:  Rose B. Craft, Acting Per B. Carns
Date of Death:  11 November 1943
I hereby certify that I attended deceased from 10 November 1943 to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at 6:30 a.m.
Immediate cause of death:  Pneumonia Lobar
Duration: (blank)
Due to: (blank)
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: (illegible), M.D., Lackey
Date signed:  27 March 1945
Transcribed by Debbie Tamborski, 19 October 2010