DEATH CERTIFICATE

WILLIAM BOLLEN, SR.

Date    22 June 1918
Cert: #  42788
Name:  William BOLLEN, Sr.
Male, White, Married
Age:  84 years, 11 months, 29 days
Place of Death: Voting Precinct #9, Knott Co., KY  
Birth Date:  23 June 1833                                         Occupation:  Farmer                   
Place of Birth:  Kentucky                           
Father:  John BOWLING                                                    Birthplace Father:  Va.
Mother:  Nancy ARMSTRONG                                                Birthplace Mother:  Va.
Informant:  (not listed)
Death Date:  22 June 1918
Cause of Death:  Senility
Signed:  M. F. Kelley, M.D.
Burial Place:  Richie Cemetery
Undertaker:  John Bollen, Talcum, Ky.
File Date: (not listed)
Transcribed by Debbie Tamborski, 28 October 2008