Date:    23 February 1948
Cert:    10536 
Place of Death: County: Knott   City or Town:  Bolyn
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town:  Bolyn 
Full Name:  John M. BOLEYN 
If Veteran Name War: Spanish American
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Male, White, Divorced 
Husband or Wife of:  Bess WOOTON
Age of husband or wife if alive: Approx. 60 years
Birth date of deceased:  16 April 1881 
Age: 66 years, 09 months, 07 days
Birthplace:  Knott Co., Ky. 
Occupation:  Postmaster 
Industry or business:  (blank)
Father Name: Wm. W. BOLEYN 
Father Birthplace:  Knott Co., Ky. 
Mother Maiden Name:  Nancy HOLIDAY 
Mother Birthplace:  Perry Co., Ky. 
Informant:  Enoch BOLEYN, Garrett, Ky. 
Burial Place:   Boleyn, Ky. 
Date:  25 February 1948 
Signature of funeral director:  W. J. Ryan, Martin, Ky.
Date received by local registrar:  10 June 1948 
Registrar's Signature:  Rose B. Craft
Date of Death:  23 February 1948 
I hereby certify that I attended deceased from 02 January 1948 to 22 February 1948, that I last saw him alive on 22 February 1948, and that death occurred on the date stated above at 11:00 p.m.
Immediate cause of death:  Lobar pneumonia, Flue
Duration: 01 week, 08 weeks
Due to:  Asthma
Duration:  20 years
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:  24 March 1948 
Transcribed by Debbie Tamborski, 22 December 2010