Date:   26 February 1942
Cert:   09534 
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:  Donna Fay PARKS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  29 July 1941
Age: 06 months, 28 days
Birthplace:  Amburgey
Occupation:  (blank)
Industry or business:  (blank)
Father Name:  Bill PARKS
Father Birthplace:  Amburgey
Mother Maiden Name:  Julia CORNETT
Mother Birthplace:  Sassafras
Informant:  Julia CORNETT, Amburgey
Burial Place:  Amburgey
Date:  (blank)
Signature of funeral director: family
Date received by local registrar:  20 April 1942
Registrar's Signature:  Ida Livingston
Date of Death:  26 February 1942
I hereby certify that I attended deceased from (blank) to (blank), that I last saw h-- alive on (blank), and that death occurred on the date stated above at 8 p.m.
Immediate cause of death:  Bronchial Pneumonia
Duration: 02 days
Due to: Birth injury
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
Date signed:  14 March 1942
Transcribed by Debbie Tamborski, 17 October 2010