Date:    25 March 1948
Cert:    08260 
Place of Death: County: Knott   City or Town: Bolyn, Ky.  Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky  County: Knott
City or Town:  Bolyn     Rural 
Full Name:  Mrs. Ada SCARBURY 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Female, White, Married
Husband or Wife of:  Willard SCARBURY
Age of husband or wife if alive: 25 years
Birth date of deceased:  29 June 1922 
Age:  25 years, 08 months, 16 days
Birthplace:  Bolyn, Knott Co., Ky. 
Occupation:  Housewife 
Industry or business:  (blank)
Father Name:  Reece BOLEN 
Father Birthplace:  Bolyn, Ky. 
Mother Maiden Name:   Nancy CONLEY 
Mother Birthplace:   Lackey, Ky. 
Informant:  Reece BOLEN, Bolyn, Ky. 
Burial Place:   Bolyn, Ky., Bolen Cem. 
Date:  26 March 1948 
Signature of funeral director:  (blank), Martin, Ky. 
Date received by local registrar:  09 April 1948 
Registrar's Signature:  Rose B. Craft
Date of Death:  25 March 1948 
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death:  Gangrene of small intestine
Duration: (blank)
Due to:  partial vein obstruction
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:  C. M. Aker, M.D., Lackey, Ky.
Date signed:  08 April 1948 
Transcribed by Debbie Tamborski, 28 December 2010