Date:  03 January 1940
Cert:  01961
Place of Death: County: Knott Co.   City or Town:  Lackey, Ky.
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky  County: Knott Co.
City or Town:  Lackey
Full Name:  Eligah WALLEN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Male, White, Widowed
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  17 October 1866
Age: 73 years, 02 months, 16 days
Birthplace:  Wayland, Ky.
Occupation:  no
Industry or business: no
Father Name:  Baxter WALLEN
Father Birthplace:  Wise, Va.
Mother Maiden Name:  Lettie SHEPARD
Mother Birthplace:  Wise, Va.
Informant:  Malla WALLEN, Wayland, Ky.
Burial Place:  Wayland, Ky.
Date:  05 January 1940
Signature of funeral director:  G. D. Ryan, Martin, Ky.
Date received by local registrar:  (blank)
Registrar's Signature:  (blank)
Date of Death:  03 January 1940
I hereby certify that I attended deceased from 27 December 1939 to 03 January 1940, that I last saw him alive on 03 January 1940, and that death occurred on the date stated above at 8:00 a.m.
Immediate cause of death:  Heart failure
Duration: (blank)
Due to:  Hypertension arterio sclerosis
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. Rabin, M.D., Martin
Date signed:  (blank)
Transcribed by Debbie Tamborski, 07 October 2010