DEATH CERTIFICATE

ELLEY POLLEY

Date  13 November 1921
Cert: #  24549 
Name:  Elley POLLEY 
Place of Death: Voting Pct. Hindman, Knott Co., KY
Female, White, Married
Birth Date:  10 May 1877
Age:  44 years, 06 months, 03 days
Occupation:  Housewife
Place of Birth:  Kentucky
Name of Father:  Am. J. TAYLOR 
Birthplace Father:  Va. 
Maiden Name of Mother:  Lucy HALL
Birthplace Mother:  (blank) 
Informant:  (blank)
Death Date:  13 November 1921
Cause of Death:  Malignant sarcoma of the cervix
Signed:  M. F. Kelley, M.D.
Burial Place:  Parks Cemetery
Date of Burial:  24 November 1921 
Undertaker:  Joe Polley, Hindman, Ky.
File Date:  05 December 1921 
Transcribed by Debbie Tamborski, 28 January 2009