Date:   20 April 1942
Cert:   16448 
Place of Death: County: Knott     City or Town: Leburn  Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community:  69 years
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Leburn  Rural
Full Name:  Bolen Green DYER
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of:  Clerinda CHILDERS
Age of husband or wife if alive:  75 years
Birth date of deceased:  05 June 1861
Age: 80 years, 10 months, 19 days
Birthplace:  Magoffin County
Occupation:  Farmer
Industry or business: (blank)
Father Name:  Harris HOWARD
Father Birthplace:  Magoffin County
Mother Maiden Name: Nancy H. DYERS 
Mother Birthplace:  Magoffin County
Informant:  Mans Van (illegible), Leburn, Ky.
Burial Place:  Leburn, Ky.
Date: (blank)
Signature of funeral director: Family, Leburn, Ky.
Date received by local registrar:  23 July 1942
Registrar's Signature:  Ida Livingston 
Date of Death:   20 April 1942 
I hereby certify that I attended deceased from (blank) to (blank), that I last saw h-- alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death: Appoplexia
Duration: (blank)
Due to: age
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:  30 June 1942
Transcribed by Debbie Tamborski, 17 October 2010