DEATH CERTIFICATE

PATSY SHAVENS

Date    14 October 1918
Cert: # 29222
Name: Patsy SHAVENS
Female, White, Married
Age: 43 years
Place of Death: Voting Pct. No. 8, Knott Co., KY
Birth Date: 1865
Place of Birth: Ky.
Father: Noah BOLEYN                                               Birthplace Father: Ky.
Mother: Peggy CLEMENS                                                   Birthplace Mother: Ky.
Informant: W. W. BOLEYN, Garrett, Ky.
Death Date: 14 October 1918
Cause of Death: Influenza
Signed:  Not Listed
Burial Place: Boleyn Cemetery
Undertaker: Reece Boleyn Garrett, Ky.
File Date: 15 October 1915
Transcribed by Debbie Tamborski, 11 September 2008