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DEATH
CERTIFICATE
Mrs. KATE BOLEN
BAILEY
Date: 24 March 1951
Cert: 05874
Place of Death: County: Montgomery City or Town: Mt.
Sterling
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Residence of Deceased: State: Kentucky County:
Montgomery
City or Town: Mt. Sterling Street
Address: N. Queen
Full Name: Mrs. Kate Bolen BAILEY
Date of Death: 24 March 1951
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth: 01 February 1877
Age: 74 years, 01 months, 23 days
Usual Occupation: Housewife
Kind of Industry or business: Own Home
Birthplace: Knott County, Ky.
Father's Name: Rant BOLEN
Mother's Maiden Name: Christine GERHART
Was deceased ever in armed forces: no
Social Security No.: (blank)
Informant: Mrs. Arnie DAVIS
Disease/condition directly leading to death: Coronary
Thrombosis
Interval between onset and death: 02 years
Due to: Arteriosclerosis
Interval between onset and death: several years
Other significant conditions: Fracture Hip
Interval between onset and death: 01 month
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 04 October 1949
to 24 March 1951, that I last saw the deceased alive on 23
March 1951, and that death occurred at 10:30 p.m., from the
causes and on the date stated above.
Date signed: 26 March 1951
Address: Mt. Sterling, Kentucky
Signature: Frank Sewell
Burial, Cremation or Removal: Burial
Date: 26 March 1951
Name of Cemetery or Crematory: Machpelah
Location: Mt. Sterling, Kentucky
Date received by local registrar: 26 March 1951
Registrar's Signature: Elizabeth Wyatt
Funeral director & address: Eastin-Richey, Mt. Sterling,
Ky.
Transcribed by Debbie Tamborski, 22 July 2010 |
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