Date:   19 October 1941
Cert:   29460 
Place of Death: County: Knott     City or Town: Amburgey
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:  Amburgey
Full Name:  Imazell MULLINS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Baby
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  22 September 1941
Age: 26 days
Birthplace: Amburgey
Occupation:  (blank)
Industry or business: (blank)
Father Name:  Rex MULLINS
Father Birthplace:  Ky.
Mother Maiden Name:  Vernice ROWE
Mother Birthplace:  Ky.
Informant:  Rex MULLINS, Amburgey
Burial Place:  Amburgey
Date:  20 October 1941
Signature of funeral director: Family
Date received by local registrar:  (blank)
Registrar's Signature:  (blank)
Date of Death:  19 October 1941
I hereby certify that I attended deceased from 22 September 1941 to 19 October 1941, that I last saw him alive on 22 September 1941, and that death occurred on the date stated above at 8 a.m.
Immediate cause of death:  Spina bifida
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:  A. B. Pigman, M.D., Allock, Ky.
Date signed:  07 November 1941
Transcribed by Debbie Tamborski, 14 October 2010