Date: 22 November 1953
Cert: 27428
Place of Death: County: Knott
City or Town: Emalena
Length of stay (in this place): (blank)
Street address or location:
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Emmalena If rural give
location:
(blank)
Full Name: Monroe HOLLIDAY
Date of Death: 22 November 1953
Sex, Color or Race, Marital Status: Male, White
Date of Birth: 12 May 1888
Age: 65 years
Usual Occupation: Farmer
Kind of Industry or business: (blank)
Birthplace: Perry Co., Ky.
Father's Name: Green HOLLIDAY
Mother's Maiden Name: Nancy CORNETT
Was deceased ever in armed forces: No
Social Security No.: None
Informant: Polly COMBS
Disease or condition directly leading to death: Car pulmonale
Interval between onset and death: 03 years
Due to: Chronic bronchitis
Interval between onset and death: 50 years
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 23 March 1948 to
22 November 1953, that I last saw the deceased alive on 22
November 1953, and
that death occurred at 2:20 p.m., from the causes and on the
date stated above.
Date signed: 01 December 1953
Address: Hindman, Ky.
Signature: D. G. Barker, M.D.
Burial, Cremation or Removal: Burial
Date: 24 November 1953
Name of Cemetery or Crematory: Family Cemetery
Location: Lower Troublesome
Date received by local registrar: 02 December 1953
Registrar's Signature: Rose B. Craft
Funeral director & address: John N. Taul,
Hindman, Knott Co., Ky.
Transcribed by Debbie Tamborski, 09 February 2011 |