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 |