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 |