Date:    14 October 1948
Cert:    21279 
Place of Death: County: Knott   City or Town:  Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: 01 day
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Rural     If rural give precinct:  Hindman 
Full Name:  Catherine POLLY 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Female, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  13 October 1948 
Age:  00 years, 00 months, 01 days
Birthplace:  Hindman, Ky. 
Occupation:  (blank) 
Industry or business:  (blank)
Father Name:   Adam POLLY
Father Birthplace:  Knott Co. 
Mother Maiden Name:   Hazel CAUDILL 
Mother Birthplace:   Mallie, Ky. 
Informant:  Linda CAUDILL, Hindman, Ky. 
Burial Place:   Irishman Hill Graveyard, Ivis, Ky. 
Date:  15 October 1948 
Signature of funeral director:  (Family)
Date received by local registrar: 27 October 1948 
Registrar's Signature:  Rose B. Craft
Date of Death:  14 October 1948 
I hereby certify that I attended deceased from 13 October 1948 to (blank), that I last saw him alive on 13 October 1948, and that death occurred on the date stated above at 9:10 a.m.
Immediate cause of death:  cerebral anoxia 
Duration:  01 days
Due to:  Delayed resuscitation at birth (no doctor in attendance until 1 1/2 hours after birth)
Duration: 3 to 5 minutes
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  D. G. Barker, M.D., Hindman, Ky.
Date signed:  21 October 1948 
Transcribed by Debbie Tamborski, 28 December 2010