Date:    29 August 1946
Cert:    26821 
Place of Death: County: Knott  City or Town: Mousie, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Mousie     Rural 
Full Name:  Mrs. Alifair BOLEN 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Female, White, Married
Husband or Wife of:  Green BOLEN
Age of husband or wife if alive: 65 years
Birth date of deceased:  16 May 1882 
Age:  64 years, 03 months, 13 days
Birthplace:  Kentucky 
Occupation:  Housewife 
Industry or business:  (blank)
Father Name:  Louis GAYHEART 
Father Birthplace: Kentucky 
Mother Maiden Name:  Nancy OWENS 
Mother Birthplace:  Kentucky 
Informant:  Marie COMBS, Mousie, Ky. 
Burial Place:   Mousie Cem. 
Date:  31 August 1946 
Signature of funeral director:  W. J. Ryan, Martin, Ky.
Date received by local registrar:  30 September 1946 
Registrar's Signature:  Mrs. Rose B. Craft
Date of Death:  29 August 1946 
I hereby certify that I attended deceased from (blank) to 01 January 1945, that I last saw him alive on 29 August 1946, and that death occurred on the date stated above at 8:00 p.m.
Immediate cause of death:  appoplexia with paralysis
Duration: (blank)
Due to:  (blank)
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:  M. F. Kelley, M.D., Hindman, Ky.
Date signed:  30 September 1946 
Transcribed by Debbie Tamborski, 04 December 2010