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DEATH
CERTIFICATE
B. M. CONLEY
Date: 04 November 1949
Cert: 23766
Place of Death: County: Morgan City or Town:
Zag, Ky.
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Morgan
City or Town: Zag, Ky. Street Address: (blank)
Full Name: B. M. CONLEY
Date of Death: 04 November 1949
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 03 May 1904
Age: 45 years, 06 months, 01 days
Usual Occupation: Farmer
Kind of Industry or business: Farming
Birthplace: Knott Co., Ky.
Father's Name: John CONLEY
Mother's Maiden Name: Alice GAYHEART
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Lawrence CONLEY
Disease or condition directly leading to death:
Metastatic carcinoma to bowel & lungs
Interval between onset and death: (blank)
Due to: Primary carcinoma of left kidney
Other significant conditions: (blank)
Date of Operation: 03 September 1949
Major findings of operation: Primary Carcinoma of left
kidney
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 15 February
1949 to
04 November 1949, that I last saw the deceased alive on 04
November 1949, and
that death occurred at 11:45 p.m., from the causes and on the
date stated above.
Date signed: 05 November 1949
Address: West Liberty
Signature: Alec Spencer, M.D.
Burial, Cremation or Removal: Burial
Date: 06 November 1949
Name of Cemetery or Crematory: Family
Location: Zag, Ky.
Date received by local registrar: 06 November 1949
Registrar's Signature: Louise Goble
Funeral director & address: H. D. Potter, West
Liberty, Ky.
Transcribed by Debbie Tamborski, 12 July 2010 |
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