Date:    15 August 1944
Cert:    27636 
Place of Death: County: Knott   City or Town:  Amburgy
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:  Amburgy 
Full Name:  Elizabeth MULLINS 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Female, White, Married
Husband or Wife of:  Jasper MULLINS
Age of husband or wife if alive: 79 years
Birth date of deceased:  29 March 1867 
Age:  77 years, 04 months, 12 days
Birthplace:  Letcher Co., Ky. 
Occupation:  House wife 
Industry or business: (blank)
Father Name:  Will GHENT 
Father Birthplace:  Ky. 
Mother Maiden Name:  Nancy SMITH  
Mother Birthplace:  Ky. 
Informant:  Nick FIELDS, Amburgy, Ky. 
Burial Place:   Amburgy 
Date:   16 August 1944 
Signature of funeral director:  Engles, Hazard, Ky.
Date received by local registrar:  18 December 1944 
Registrar's Signature: Ida Livingston Rose B. Craft Acting Reg.
Date of Death:  15 August 1944 
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at 4 a.m.
Immediate cause of death:  Heart block 
Duration: (blank)
Due to:  arteriosclerotic heart condition
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:  J. R. Aker, M.D., Anco, Ky.
Date signed:  02 September 1944 
Transcribed by Debbie Tamborski, 15 November 2010