DEATH CERTIFICATE

LUCY BOLEN

Date 08 August 1912
Deathvol
Vol:   1912
Cert: # 20305
Name: Lucy BOLEN
Female, White, Single
Age: 4 months, 17 days
Place of Death: Voting Pct Lackey, Jones Fork, Knott Co., KY
Birth Date: 22 March 1912
Place of Birth: Knott Co., KY
Father: Monroe BOLEN                                              Birthplace Father: KY
Mother: Charlotta HIX                                                 Birthplace Mother: KY
Informant: Not Listed
Death Date: 08 August 1912
Cause of Death: Tuberculosis of Lungs
Signed:   M.V. Wicker, M.D.
Burial Place: Bolen Graveyard
Undertaker: Monroe Bolen
File Date: 10 August 1912
Transcribed by Debbie Tamborski, 13 June 2008