Can anyone make out the cause of death?

Josephine Carpenter born October 30 1914 in Johnstown, Cambria, Pennsylvania to Fortunata Mary Meo (15) and Paul Carpenter (30). Twin sister to Dominica “Minnie” Mary Carpenter, she survived.

Josephine Carpenter born October 30 1914 in Johnstown, Cambria, Pennsylvania to Fortunata Mary Meo (15) and Paul Carpenter (30). Twin sister to Dominica “Minnie” Mary Carpenter, she survived.