Date:   05 March 1941
Cert:   07981 
Place of Death: County: Knott Co.   City or Town: Carrie
Name of Hospital or Institution: none
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Hindman
Full Name:  Elbert MULLENS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Male, White, Single
Husband or Wife of:   (blank) 
Age of husband or wife if alive: (blank)
Birth date of deceased:  (illegible)
Age: 11 hours 18 minutes
Birthplace:  Hindman, Ky.
Occupation:  (blank)
Industry or business: (blank)
Father Name:  James MULLENS
Father Birthplace:  Hindman, Ky.
Mother Maiden Name:  Lottie GIBSON
Mother Birthplace:  Hindman, Ky.
Informant:  James MULLENS, Hindman, Ky.
Burial Place:  Irishman
Date:  06 March 1941
Signature of funeral director: None
Date received by local registrar:  10 March 1941
Registrar's Signature:  Macie Miller
Date of Death:  (illegible)
I hereby certify that I attended deceased from (illegible) to (illegible), that I last saw h-- alive on (illegible), and that death occurred on the date stated above at (illegible)
Immediate cause of death:  (illegible)
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: Linda Rorak, Carrie
Date signed:  07 March 1941
Transcribed by Debbie Tamborski, 14 October 2010