DEATH CERTIFICATE
CLAUDE BOLEN

Date    03 December 1915
Deathvol Vol:   1916
Cert: #  81
Name:  Claude BOLEN
Female, White, Single
Age:  4 years
Place of Death: Voting Pct. No. 8, Garrett, Knott Co., KY
Birth Date:  (Blank)                   
Place of Birth:  Ky.
Father:  Lewis BOLEN                                                Birthplace Father:  Ky.
Mother:  Evylene SPARKMAN                                              Birthplace Mother:  Ky.
Informant:  (Blank)
Death Date:  03 December 1915
Cause of Death:  Dysentery
Signed:  M. V. Wicker, M.D.
Burial Place:  Bolen Graveyard
Undertaker:  J. M. Bolen, Garrett, Ky.
File Date: 15 January 1916
Transcribed by Debbie Tamborski, 31 July 2008