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DEATH
CERTIFICATE
(no name wanted) BOLEN
Date 08 January 1937
Cert: 2018
Name: (no name wanted) BOLEN
Place of Death: Voting Pct. Rock Fork, Bolyn, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Male, White, Single
Husband or Wife of: (blank)
Birth Date: 08 January 1937 at 4 P.M.
Age: Still Born
Occupation: (blank)
Place of Birth: Bolyn, Ky.
Name of Father: Sebaston BOLEN
Birthplace Father: Bolyn, Ky., Knott Co.
Maiden Name of Mother: Tempie MILLS
Birthplace Mother: Bolyn, Ky., Knott Co.
Informant: Sebaton BOLEN, Bolyn, Ky.
Death Date: 08 January 1937
Cause of Death: Flue
Signed: Mark Dempsey, M.D., Garrett, Ky.
Burial Place: Bolyn, Ky.
Date of Burial: 09 January 1937
Undertaker: none
File Date: 20 January 1937
Registrar: J. F. Combs
Transcribed by Debbie Tamborski, 23 September 2009 |
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