Date: 02 December 1951
Cert: 25348
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): All of life
Street address or location: Sassafras, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
precinct: Sassafras, Ky.
Full Name: Conley ANDERSON
Date of Death: 02 December 1951
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 13 April 1917
Age: 38 years
Usual Occupation: Miner
Kind of Industry or business: Mining Coal
Birthplace: Knott County, Ky.
Father's Name: James ANDERSON
Mother's Maiden Name: Sara BENTLEY
Was deceased ever in armed forces: (blank)
Social Security No.: 406-09-9579
Informant: Mrs. Alta ANDERSON
Disease or condition directly leading to death: Heart
Failure
Interval between onset and death: (blank)
Due to: Sudden attack
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
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: 03 December 1951
Address: Hindman, Ky.
Signature: Jno. N. Taul (Coroner)
Burial, Cremation or Removal: Burial
Date: 05 December 1951
Name of Cemetery or Crematory: Stamper Cemetery
Location: Littcarr, Ky.
Date received by local registrar: 03 December 1951
Registrar's Signature: Rose B. Craft
Funeral director & address: Jno. Taul, Hindman, Ky.,
Hindman Funeral Home
Transcribed by Debbie Tamborski, 17 January 2011 |