DEATH CERTIFICATE

EWENS TOLIVER

Date:    07 February 1945
Cert:    03964 
Place of Death: County: Knott   City or Town:  Litt Carr
Street Number or Location:  Rural
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town:  Litt Carr     Street No.:  Rural 
Full Name:   Ewens TOLIVER 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:   Male, White, Married
Husband or Wife of:  Audie SHORT
Age of husband or wife if alive: 42 years
Birth date of deceased:  (blank) 
Age:  46 years
Birthplace:  Knott Co., Ky. 
Occupation:  Farmer 
Industry or business:  (blank)
Father Name:   Link TOLIVER
Father Birthplace:  Letcher Co., Ky. 
Mother Maiden Name:   Rebecca COOK 
Mother Birthplace:   Letcher Co. 
Informant:  Polina TOLIVER 
Burial Place:   Toliver Cemetery, Litt Carr
Date:   (illegible) February 1945 
Signature of funeral director:  Tom Toliver, Litt Carr 
Date received by local registrar: 10 February 1945 
Registrar's Signature:  Ida Livingston Rose B. Craft Acting L. R.
Date of Death:  07 February 1945 
I hereby certify that I attended deceased from (blank) to 03 February 1945, that I last saw him alive on 03 February 1945, and that death occurred on the date stated above at 4 a.m.
Immediate cause of death:  Cancer of stomache 
Duration: (blank)
Due to:  (blank)
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:  M. F. Kelley, M.D., Hindman, Ky.
Date signed:  09 February 1945 
Transcribed by Debbie Tamborski, 01 December 2010