Date:  20 June 1950
Cert:  14715 
Place of Death: County: Knott      City or Town: Rural
Length of stay (in this place): All of life
Street address or location:  Pinetop, Ky.
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Rural      If rural give precinct:  Pinetop, Ky.
Full Name:  Mary TOLLIVER
Date of Death:  20 June 1950
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  14 March 1883
Age:  67 years
Usual Occupation: Housewife
Kind of Industry or business: Keeping House
Birthplace:  Letcher Co., Ky.
Father's Name:  Bud POLLY
Mother's Maiden Name:  Lettie CRAFT
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Doc TOLLIVER
Disease or condition directly leading to death:  Paralysis Cerebral hemorrhage
Interval between onset and death:  (blank)
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to (blank), that I last saw the deceased alive on (blank), and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  24 July 1950
Address:  Hindman, Ky.
Signature:  M. F. Kelley
Burial, Cremation or Removal:  Burial
Date:  22 June 1950
Name of Cemetery or Crematory:  Family Cem.
Location:  Pinetop, Ky.
Date received by local registrar: 24 July 1950
Registrar's Signature:  Rose B. Craft
Funeral director/address: Hindman Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 17 January 2011