DEATH CERTIFICATE

RELIA HOLLEN

Date  1930
Deathvol 
Vol:
Cert: # 801/22903
Name: Relia Hollen
Female, White, Infant
Age: 5 mos
Place of Death: Carrie, Knott Co, KY
Birth Date: Apr 23 1930
Place of Birth: Breathitt Co, KY
Father: John Hollen
Place of Birth:  KY

Mother: Laura Smith
Place of Birth:  Knott Co, KY

Informant: not listed
Death Date: Sep 23 1930
Cause of Death: Diphtheria
Signed: not legible
Burial Place: Martin Cemetery, Carrie, KY on Sep 24 1930
Undertaker:
File Date: not listed
Transcribed by Peggy M. Brock December 2008ted