DEATH CERTIFICATE

MARY JANE PATTON STURDIVANT

Date 29 December 1936
Cert:  5175
Name:  Mary Jane Patton STURDIVANT
Place of Death: Voting Pct. Soft Shell, Knott Co., KY
Residence:  (blank)
Length of residence: (blank)
Female, White, Widowed
Husband or Wife of:  Please STURDIVANT
Birth Date:  15 October 1858
Age: 78 years, 02 months, 14 days
Occupation:  Housewife
Place of Birth: Kentucky
Name of Father:  Robert PATTON
Birthplace Father:  Kentucky
Maiden Name of Mother:  Sally GAYHART
Birthplace Mother:  Ky.
Informant:  Tim PATTON, Soft Shell, Ky.
Death Date:  29 December 1936 
Cause of Death:  Disease of the heart and influenza
Signed: M. F. Kelley, M.D., Hindman, Ky.
Burial Place:  Bolin Cemetery
Date of Burial:  30 December 1936
Undertaker:  Tim Patton, Soft Shell, Ky.
File Date:  30 December 1936
Registrar:  J. D. Martin
Transcribed by Debbie Tamborski, 20 September 2009