DEATH CERTIFICATE
JOHN BOLEN

Date    23 June 1919
Cert: #  18989
Name:  John BOLEN
Male, White, Child
Age:  01 years, 06 months, 22 days
Place of Death: Voting Precinct #10, Knott Co., KY  
Birth Date:  01 Jun 1919(transcribed as written)                              
Place of Birth:  Lackey, Ky.                 
Father:  Lee BOLEN                                                    Birthplace Father:  Lackey, Ky.
Mother:  Polley COBURN                                                Birthplace Mother:  Hippo, Ky.
Informant:  Felix COBURN, Garrett, Ky.
Death Date:  23 June 1919
Cause of Death:  Had cholera infection chronic
Signed:  N. N. Collins, M.D.
Burial Place:  Conley Cemetery
Undertaker:  Erl Howard, Garrett, Ky.
File Date: 23 June 1919
Transcribed by Debbie Tamborski, 28 October 2008