Date:  31 August 1953
Cert:  19128 
Place of Death: County: Knott      City or Town: Lackey   Rural
Length of stay (in this place): 07 days
Name of Hospital or Institution:  Stumbo Hospital
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Rural    If rural give location:  Garrett, Ky.
Full Name:  Ella Faye SHEPHERD 
Date of Death:  31 August 1953 
Sex, Color/Race, Marital Status: Female, White, Never Married
Date of Birth:  15 November 1951
Age:  01 years, 09 months, 16 days
Usual Occupation:  None 
Kind of Industry or business: None
Birthplace:  Knott Co., Ky. 
Father's Name:  Manis SHEPHERD 
Mother's Maiden Name:  Naomi BOLEYN 
Was deceased ever in armed forces: No
Social Security No.:   None
Informant:  Manis SHEPHERD 
Disease/condition directly leading to death: Intestinal obstruction
Interval between onset and death:  (blank)
Due to:  Ascaris Lumbricoides
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 24 August 1953 to 31 August 1953, that I last saw the deceased alive on 31 August 1953, and that death occurred at 7:25 p.m., from the causes and on the date stated above.
Date signed:  01 September 1953
Address:  Lackey, Ky.
Signature:  C. M. Aker, M.D.
Burial, Cremation or Removal: Burial
Date:  03 September 1953
Name of Cemetery or Crematory: Bolyn Cemetery
Location:  Boleyn, Knott Co., Ky.
Date received by local registrar: 16 September 1953
Registrar's Signature: Mrs. Rose B. Craft
Funeral director & address:  John N. Taul, Hindman Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 11 February 2011