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DEATH
CERTIFICATE
TOM BOLEN
Date 31 December 1935
Cert: 2106
Name: Tom BOLEN
Place of Death: Voting Pct. Rock Fork, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Male, White
Husband or Wife of: (blank)
Birth Date: 31 December 1935
Age: 00 years,00 months, 00 days
Occupation: (blank)
Place of Birth: Knott Co., Ky.
Name of Father: Whately BOLEN
Birthplace Father: Floyd Co., Ky.
Maiden Name of Mother: Lotie FRASHER
Birthplace Mother: Knott Co., Ky.
Informant: Whately BOLEN, Bolyn, Ky.
Death Date: 31 December 1935
Cause of Death: Fall by mother some time before birth
Signed: Mertie Hicks, M.D., Bolyn, Ky.
Burial Place: none
Date of Burial: (blank)
Undertaker: (blank)
File Date: 16 January 1936
Transcribed by Debbie Tamborski, 12 August 2009
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