DEATH CERTIFICATE

 WILLIAM F. HOLLIMAN

Date:   11 November 1941
Cert:   29459 
Place of Death: County: Knott     City or Town: Sassafras
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Perry
City or Town:  Vicco     Street No. or precinct:  No. 42
Full Name:  William F. HOLLIMAN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Widowed
Husband or Wife of:  (blank)
Age of husband or wife if alive:  (blank)
Birth date of deceased:  25 May 1860
Age: 81 years, 06 months, 17 days
Birthplace:  Louisville, Ky.
Occupation:  Farmer
Industry or business: (blank)
Father Name:  Frank NICKLES
Father Birthplace:  Ireland
Mother Maiden Name:  Lucy ? (transcribed as written)
Mother Birthplace:  Ireland
Informant:  Rufus HOLLIMAN, Vicco, Ky.
Burial Place:  Cornett Hill, Knott Co.
Date:  10 November 1941 (transcribed as written)
Signature of funeral director:  Engle Und. & Hdwe. Co., Hazard, Ky.
Date received by local registrar: 01 December 1941
Registrar's Signature:  Anna Laura Boulos
Date of Death:  11 November 1941
I hereby certify that I attended deceased from 10 September 1941 to 11 November 1941, that I last saw him alive on 05 November 1941, and that death occurred on the date stated above at 10 a.m.
Immediate cause of death: Dropsy
Duration: 03 months
Due to: Cardiac Renal Disease
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: A. B. Pigman, Allock, Ky.
Date signed:  01 December 1941
Transcribed by Debbie Tamborski, 12 October 2010