DEATH CERTIFICATE
TEMPEY BOLEN

Date    03 March 1917
Cert: #  8440
Name:  Tempey BOLEN
Female, White, Widow
Age:  94 years, 10 months, 05 days
Place of Death: Voting Precinct, Jonesfork, Knott Co., KY  
Birth Date:  08 May 1823                              
Place of Birth:  Knott Co., Ky.                     
Father:  John BOLEN                                                   Birthplace Father:  Tenn.
Mother:  Sarah GIPSON                                                    Birthplace Mother:  Tenn.
Informant:  J. M. BOLEN, Garrett, Ky.
Death Date:  03 March 1917
Cause of Death:  Died sudden supposed apoplexy                    Contributory:  Old Age
Signed:  N. N. Collins, M.D.
Burial Place:  Bolen Burial Ground
Undertaker:  J. M. Bolen, Garrett, Ky.
File Date: 09 April 1917
Transcribed by Debbie Tamborski, 28 October 2008