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DEATH
CERTIFICATE
CLAUDE HAROLD BOLEN
Date 20 April 1939
Cert: 10610
Name: Claude Harold BOLEN
Place of Death: Voting Pct. Jones Fork, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Male, White, Single
Husband or Wife of: (blank)
Birth Date: 20 April 1939
Age: 00 years, 00 months, 00 days, none hours, none minutes
Occupation: none
Place of Birth: Lackey, Ky.
Name of Father: Clyde BOLEN
Birthplace Father: Vanlear, Ky.
Maiden Name of Mother: Anise HENLER
Birthplace Mother: Garrett, Ky.
Informant: Clyde BOLEN
Death Date: 20 April 1939
Cause of Death: Premature birth
Signed: T. J. Chandler, M.D., Lackey, Ky.
Burial Place: Ball Branch Cem.
Date of Burial: 21 April 1939
Undertaker: (blank)
File Date: 23 April 1939
Registrar: J. F. Combs
Transcribed by Debbie Tamborski, 10 November 2009 |
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