Date:   31 March 1943
Cert:   09345 
Place of Death: County: Knott     City or Town: Lackey
Name of Hospital or Institution: Stumbo Mem. Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Hueysville
Full Name:  Dortha E. SHEPHARD
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:  11 May 1942
Age: 10 months, 20 days
Birthplace:  Knott Co., Ky.
Occupation:  (blank)
Industry or business: (blank)
Father Name:  Fair SHEPHARD
Father Birthplace:  Knott Co., Ky.
Mother Maiden Name:  Pearl
Mother Birthplace:  Knott Co., Ky.
Informant:  Fair SHEPARD, Hueysville, Ky.
Burial Place: Hueysville, Ky.
Date:  01 April 1943
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar:  06 May 1943
Registrar's Signature:  Ida Livingston
Date of Death:  31 March 1943
I hereby certify that I attended deceased from 29 March 1943 to 31 March 1943, that I last saw her alive on 31 March 1943, and that death occurred on the date stated above at 6:00 a.m.
Immediate cause of death: Encephelitis 
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: J. R. Chitwood, M.D., Lackey, Ky.
Date signed:  04 May 1943
Transcribed by Debbie Tamborski, 25 October 2010