DEATH CERTIFICATE

 FANNY CONLEY

Date:   26 July 1941
Cert:   20352 
Place of Death: County: Knott     City or Town:  Lackey, Ky.
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County:  Knott
City or Town:  Lackey, Ky.
Full Name:  Fanny CONLEY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of:  R. L. CONLEY
Age of husband or wife if alive:  73 years
Birth date of deceased:  27 January 1873
Age: 68 years, 05 months, 29 days
Birthplace:  Knott Co.
Occupation:  Domestic
Industry or business: (blank)
Father Name:  Linzie TRIPLETT
Father Birthplace:  Knott Co.
Mother Maiden Name:  Margrett WALLEN
Mother Birthplace:  Knott Co.
Informant:  R. L. CONLEY, Lackey
Burial Place:  Lackey, Ky.
Date:  30 July 1941
Signature of funeral director:  O. T. Lemaster, Martin, Ky.
Date received by local registrar:  09 August 1941
Registrar's Signature:  Macie Miller
Date of Death:  26 July 1941
I hereby certify that I attended deceased from 25 July 1941 to 26 July 1941, that I last saw her alive on 26 July 1941, and that death occurred on the date stated above at 3:40 a.m.
Immediate cause of death:  Heat stroke
Duration: (blank)
Due to: (blank)
Other Conditions:  Myocarditis
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: C. R. Messer, M.D., Lackey, Ky.
Date signed:  06 August 1941
Transcribed by Debbie Tamborski, 12 October 2010