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DEATH
CERTIFICATE
JAMES MONROE BOLEN
Date: 11 December 1951
Cert: 23872
Place of Death: County: Boyd City or Town:
Ashland
Length of stay (in this place): 29 years
Street address or location: 1817 Delaware Street
Usual Residence of Deceased: State: Kentucky County:
Boyd
City or Town: Ashland Street Address:
1817 Delaware Street
Full Name: James Monroe BOLEN
Date of Death: 11 December 1951
Sex, Color or Race, Marital Status: Male, White, Widower
Date of Birth: 01 April 1873
Age: 78 years
Usual Occupation: Retired Hotel Owner
Kind of Industry or business: Hotel
Birthplace: Knott County, Kentucky
Father's Name: Enock BOLEN
Mother's Maiden Name: Jane SIZEMORE
Was deceased ever in armed forces: no
Social Security No.: no
Informant: Herbert BOLEN (Son)
Disease/condition directly leading to death: Chronic
Myocarditis
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
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 03 May 1951 to
11 December 1951, that I last saw the deceased alive on 11
December 1951, and
that death occurred at 8:30 p.m., from the causes and on the
date stated above.
Date signed: 12 December 1951
Address: Ashland, Ky.
Signature: (illegible), M.D.
Burial, Cremation or Removal: Burial
Date: 14 December 1951
Name of Cemetery or Crematory: Rose Hill Burial Park
Location: Ashland, Kentucky
Date received by local registrar: 14 December 1951
Registrar's Signature: (illegible)
Funeral director & address: John Steen, Ashland,
Kentucky
Transcribed by Debbie Tamborski, 22 July 2010 |
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