Date: 11 September 1956
Cert: #56-18913
Place of Death: County: Knott
City or Town: Carrie - Rural
Length of stay (in this place): (blank)
Full Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Carrie Residence
on a Farm?: Yes
Street Address: (blank) Residence inside
City Limits?: No
Full Name: Dunk HOLLAND
Date of Death: 11 September 1956
Sex, Color or Race, Marital Status: Male, White,
Married
Date of Birth: 25 May 1883
Age: 73 years
Usual Occupation: Farmer
Kind of Industry or business: (blank)
Birthplace: Breathitt Co., Ky.
Father's Name: Will HOLLAND
Mother's Maiden Name: (blank)
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant: Mrs. Dunk HOLLAND
Disease or condition directly leading to death: Hypertensive
cardio-vascular disease
Interval between onset and death: 02 years
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
Describe how injury occurred: (blank)
Time of injury: (blank)
Injury occurred at work: (blank)
Place of injury: (blank)
City, Town or Location, County, State: (blank)
I hereby certify that I attended deceased from 10 August 1956 to
01 September 1956, that I last saw the deceased alive on 01
September 1956, and
that death occurred at ? (transcribed as written, from the causes and on the
date stated above.
Date signed: 17 September 1956
Address: Ary, Ky.
Signature: K. W. Cameron
Burial, Cremation or Removal: Burial
Date: 14 September 1956
Name of Cemetery or Crematory: Martin Cem.
Location: Carrie, Ky.
Date received by local registrar: 24 September
1956
Registrar's Signature: Myrtle Slone
Funeral director & address: John Everage, Hindman,
Ky.
Transcribed by Debbie Tamborski, 25 April 2012 |