DEATH CERTIFICATE

Inf. of CLAUDE BOLDEN

Date 30 June 1934
Cert:  7419
Name:  Inf. of Claude BOLDEN
Place of Death: Voting Pct. Lower Jones Fork #19, Knott Co., KY
Residence:  Lackey, Ky.
Male, White, Single
Husband or Wife of:  (blank)
Birth Date:  30 June 1934
Age: 40 minutes
Occupation:  (blank)
Place of Birth:  Ky. (Lackey)
Name of Father:  Claud BOLDEN
Birthplace Father:  Ky.
Maiden Name of Mother:  Ollie CONLEY
Birthplace Mother:  Ky.
Informant:  Claud BOLDEN
Death Date:  Lackey, Ky.
Cause of Death:  Injuries during child birth
Signed:  T. J. Chandler, M.D., Lackey, Ky.
Burial Place:  Ball Branch
Date of Burial:  01 July 1934
Undertaker:  Family, Lackey, Ky.
File Date:  02 March 
Transcribed by Debbie Tamborski, 16 July 2009