Date: 11 August 1951
Cert: 16607
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): All of life
Street address or location: Mousie, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
precinct: Mousie, Ky.
Full Name: Andy CONLEY
Date of Death: 11 August 1951
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 12 April 1880
Age: 71 years
Usual Occupation: Farmer
Kind of Industry or business: Farming
Birthplace: Knott County, Ky.
Father's Name: Preston CONLEY
Mother's Maiden Name: Sarah CONLEY
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Wootsie CONLEY
Disease or condition directly leading to death: Heart
Failure
Due to: due to High Blood pressure
Interval between onset and death: instance
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: 14 August 1951
Address: Hindman, Ky.
Signature: Jno. Taul (Coroner)
Burial, Cremation or Removal: Burial
Date: 13 August 1951
Name of Cemetery or Crematory: Conley Cemetery
Location: Mousie, Knott, Ky.
Date received by local registrar: 14 August 1951
Registrar's Signature: Rose B. Craft
Funeral director & address: Hindman Fun'l Home -
Hindman, Ky., John N. Taul - Director
Transcribed by Debbie Tamborski, 18 January 2011 |