DEATH CERTIFICATE

(Stillbirth) BOLEN

Date  24 December 1927
Cert: #  4456
Name:  (Stillbirth) BOLEN
Place of Death: Voting Pct. Lower Ball, Knott Co., KY
Male, White
Birth Date:  24 December1927
Age: (blank)
Occupation:  (blank)
Place of Birth:  (blank)
Name of Father:  Kelley BOLEN
Birthplace Father:  Knott Co., Ky.
Maiden Name of Mother:  Cinda NOBLE
Birthplace Mother:  Breathitt Co., Ky.
Informant:  Kelly BOLEN, Vest, Ky.
Death Date:  24 December 1927
Cause of Death:  Stillbirth
Signed:  M. F. Kelley, M.D.
Burial Place:  Dobson
Date of Burial:  25 December 1927
Undertaker:  P. Dobson, Vest, Ky. 
File Date:  25 December 1927
Transcribed by Debbie Tamborski, 10 December 2008