Date: 01 February 1947
Cert: 20400
Place of Death: County: Knott City or
Town: Garrett, Ky.
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural
give precinct: Garrett, Ky.
Full Name: Clabe CONLEY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Rena CONLEY
Age of husband or wife if alive: 77 years
Birth date of deceased: (blank)
Age: 79 years
Birthplace: Knott County
Occupation: Farmer
Industry or business: (blank)
Father Name: unknown
Father Birthplace: unknown
Mother Maiden Name: Peggy CONLEY
Mother Birthplace: Knott County
Informant: Irvin CONLEY, Garrett, Ky.
Burial Place: Knott County
Date: 03 February 1947
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 27 May 1947
Registrar's Signature: Rose B. Craft
Date of Death: 01 February 1947
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on 01 February 1947, and
that death occurred on the date stated above at 6:30
Immediate cause of death: (blank)
Duration: (blank)
Due to: Tuberculosis
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: M. M. Collins, M.D., Lackey,
Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 16 December 2010 |