Date:    17 June 1948
Cert:    14930 
Place of Death: County: Knott   City or Town: Carr Creek
Name of Hospital or Institution: none
Length of stay in hospital or community: 2 yrs. 1/2
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town:  Carr Creek 
Full Name:  Polly Ann FRANCIS 
If Veteran Name War: No
Social Security No.:  No
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of:  John FRANCIS
Age of husband or wife if alive: 73 years
Birth date of deceased:  14 January 1883 
Age:  65 years, 05 months, 03 days
Birthplace:  Whitesburg, Ky. 
Occupation:  Housewife 
Industry or business:  (blank)
Father Name:  Watson CAUDILL 
Father Birthplace:  Ky. 
Mother Maiden Name:  Sobina COMBS    
Mother Birthplace:   Ky. 
Informant:  Sobina FRANCIS, Carr Creek, Ky. 
Burial Place:  Sandlick, Ky. 
Date:  20 June 1948 
Signature of funeral director:  Archie Craft, Whitesburg, Ky.
Date received by local registrar:  12 July 1948 
Registrar's Signature:  Rose B. Craft
Date of Death:  17 June 1948 
I hereby certify that I attended deceased from 17 June 1948 to 17 June 1948, that I last saw him alive on 17 June 1948, and that death occurred on the date stated above at 2:30 p.m.
Immediate cause of death:  Cerebral Apoplexy 
Duration: (blank)
Due to:  (blank)
Major findings of operations: (blank)     Of Autopsy:  No
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  A. B. Pigman, M.D., Allock
Date signed:  10 July 1948 
Transcribed by Debbie Tamborski, 24 December 2010