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DEATH
CERTIFICATE
DELSIE CONLEY
Date 15 January 1936
Cert: 22429
Name: Delsie CONLEY
Place of Death: Vot Pct. Upper Jones Fork,
Mousie, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Female, White, Child
Husband or Wife of: (blank)
Birth Date: 15 January 1936
Age: (blank)
Occupation: (blank)
Place of Birth: Mousie, Ky.
Name of Father: Delsie CONLEY
Birthplace Father: Mousie, Ky.
Maiden Name of Mother: (Dovie marked out) GEARHEART
Birthplace Mother: (blank)
Informant: Jay CONLEY, Mousie, Ky.
Death Date: 15 January 1936
Cause of Death: Stillborn
Signed: N. N. Collins, M.D., Lackey, Ky.
Burial Place: Burril
Date of Burial: 16 January 1936
Undertaker: (blank)
File Date: 19 January 1936
Transcribed by Debbie Tamborski, 17 September 2009 |
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