DEATH CERTIFICATE

ALICE CONLEY

Date:  15 September 1949
Cert:  19070 
Place of Death: County: Knott      City or Town: Vest, Ky. Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Vest   Rural      Street Address: (blank)
Full Name:  Alice CONLEY 
Date of Death:  15 September 1949
Sex, Color/Race, Marital Status: Female, White, Never Married
Date of Birth:  May 1946
Age:  03 years
Usual Occupation:  None
Kind of Industry or business: None
Birthplace:  Knott Co., Ky.
Father's Name:  Louis CONLEY
Mother's Maiden Name:  Herma DOBSON
Was deceased ever in armed forces: No
Social Security No.: None
Informant:  (blank)
Disease/condition directly leading to death: Child crushed by truck
Interval between onset and death:  (blank)
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: Accident
Place of injury: On road in front of home
City or Town, County, State: (Rural) Vest, Knott, Ky.
Time of Injury: 1949 at 1 p.m.
Injury occurred at work: Not while at work
How did injury occur: Child running to meet father, fell off bank & was crushed under wheels of truck
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:  30 September 1949
Address:  Hindman, Ky.
Signature:  J. W. Duke, M.D.
Burial, Cremation or Removal:  Burial
Date:  16 September 1949
Name of Cemetery or Crematory:  Conley Cemetery
Location:  (blank)
Date received by local registrar: 30 September 1949
Registrar's Signature:  Rose B. Craft
Funeral director & address:  Friends, Bolyn, Ky.
Transcribed by Debbie Tamborski, 04 January 2011