DEATH CERTIFICATE

GREEN HOLIDAY

Date  05 March 1922
Cert: #  13840 
Name:  Green HOLIDAY 
Place of Death: Voting Pct. Hindman, Knott Co., KY
Male, White, Married
Birth Date:  05 February 1865
Age:  57 years, 01 months, 01 days
Occupation:  Farmer
Place of Birth:  Kentucky
Name of Father:  Tolbert HOLIDAY 
Birthplace Father:  Kentucky 
Maiden Name of Mother:  Sussie MARTIN
Birthplace Mother:  Kentucky 
Informant:  (blank)
Death Date:  05 March 1922 
Cause of Death:  Influenza 
Signed:  M. F. Kelley, M.D.
Burial Place:  Cornett Cemetery 
Date of Burial:  07 March 1922 
Undertaker:  Monroe Holiday, Hindman, Ky. 
File Date:  (blank) 
Transcribed by Debbie Tamborski, 07 January 2009