Date: 01 January 1945
Cert: 01589
Place of Death: County: Knott City or
Town: Bolyn, Ky. Rural
Street Number or Location: In own home
Length of stay in hospital or community: all life
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Bolyn Rural If
rural give precinct: Rock Fork
Full Name: William Wheatley BOLEN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Lottie BOLEN
Age of husband or wife if alive: (blank)
Birth date of deceased: 14 March 1866
Age: 78 years, 09 months, 17 days
Birthplace: Knott Co., Ky.
Occupation: Farmer
Industry or business: Farming
Father Name: Rice BOLEN
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Tempie BLANKENSHIPP
Mother Birthplace: (blank)
Informant: J. M. BOLYN, Bolyn, Ky.
Burial Place: Ga Point Cemetery
Date: 03 January 1945
Signature of funeral director: Robert S. Bolen, Bolyn,
Ky.
Date received by local registrar: 31 January 1945
Registrar's Signature: Ida Livingston Rose B. Craft
Acting L. R.
Date of Death: 01 January 1945
I hereby certify that I attended deceased from 28 December
1944 to 31 December 1944, that I last saw him alive on
(blank), and that death occurred on the date stated above at
1:30 a.m.
Immediate cause of death: Locked bowels
Duration: 03 days
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Mark Dempsey, M.D., Garrett,
Ky.
Date signed: 30 January 1945
Transcribed by Debbie Tamborski, 26 November 2010 |