DEATH CERTIFICATE

LUTHER BOLEN

Date:  02 March 1950
Cert:  05582 
Place of Death: County: Knott      City or Town: Rural
Length of stay (in this place): All of life
Street address or location:  Mousie, Ky.
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  Rural     If rural given precinct:  Mousie, Ky.
Full Name:  Luther BOLEN
Date of Death:  02 March 1950
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth:  21 December 1928
Age:  21 years
Usual Occupation:  None
Kind of Industry or business: None
Birthplace:  Knott Co.
Father's Name:  Lee BOLEN
Mother's Maiden Name:  Polly BOLEN
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Lee BOLEN
Disease/condition directly leading to death:  Pulmonary Paralysis
Interval between onset and death:  (blank)
Due to:  Pyramidal cell (illegible) degeneration
Interval between onset and death: 10 years
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  No
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 Life to (blank), that I last saw the deceased alive on (blank), and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  12 March 1950
Address:  Lackey, Ky.
Signature:  C. B. Ison, M.D.
Burial, Cremation or Removal:  Burial
Date:  04 March 1950
Name of Cemetery or Crematory:  Bolen
Location:  Knott Co., Ky.
Date received by local registrar: 20 March 1950
Registrar's Signature:  Rose B. Craft
Funeral director/address: Hindman Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 10 January 2011