Date:    20 June 1945
Cert:    15272 
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:  (blank) 
Full Name:  Nany Ann COX 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Female, White, Married
Husband or Wife of:  Dallas COX
Age of husband or wife if alive: 29 years
Birth date of deceased:  31 March 1914 
Age: 31 years, 02 months, 20 days
Birthplace:  Knott Co. 
Occupation:  Housewife 
Industry or business: (blank)
Father Name:  George W. Boleyn 
Father Birthplace:  Knott 
Mother Maiden Name:  Della COBURN 
Mother Birthplace:  Floyd Co. 
Informant:  J. M. BOLEYN, Bolyn, Ky. 
Burial Place:   Bolyn, Ky. 
Date:  22 June 1945 
Signature of funeral director:  Friends, Bolyn, Ky.
Date received by local registrar:  18 July 1945 
Registrar's Signature:  Rose B. Craft
Date of Death:  20 June 1945 
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at 4:00 a.m.
Immediate cause of death:  (illegible ?Pulmonary?) Tuberculosis
Duration: (blank)
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:  J. W. Duke, M.D., Hindman
Date signed:  18 July 1945 
Transcribed by Debbie Tamborski, 27 November 2010