DEATH CERTIFICATE

 FLOYD HOLBROOK

Date:   27 April 1943
Cert:   11732 
Place of Death: County: Knott  City or Town: Soft Shell - Rural
Street No. or Location:  Own home
Length of stay in hospital or community: 40 years
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Rural    If rural, give precinct:  Upper Ball
Full Name:  Floyd HOLBROOK
If Veteran Name War: (blank)
Social Security No.: 403-09-4381
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of:  Nannie HOLBROOK
Age of husband or wife if alive:  49 years
Birth date of deceased:  26 August 1876
Age: 66 years
Birthplace:  Lawrence Co., Ky.
Occupation:  Coal Mining
Industry or business: Laborer
Father Name:  William HOLBROOK
Father Birthplace:  Lawrence Co., Ky.
Mother Maiden Name:  TRIPLETT
Mother Birthplace:  Lawrence Co., Ky.
Informant:  Ed HOLBROOK, Garrett, Ky.
Burial Place:  Garrett
Date:  29 April 1943
Signature of funeral director: G. R. Patrick, Garrett, Ky.
Date received by local registrar:  21 May 1943
Registrar's Signature:  Ida Livingston
Date of Death:  27 April 1943
I hereby certify that I attended deceased from September 1942 to 21 November 1943, that I last saw him alive on 21 November 1943, and that death occurred on the date stated above at 7 a.m.
Immediate cause of death:  Nephritis
Duration: 02 years
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:  Mark Dempsey, Garrett, Ky.
Date signed:  29 April 1943
Transcribed by Debbie Tamborski, 25 October 2010