DEATH CERTIFICATE

 GAIRL CONLEY

Date:   28 October 1941
Cert:   29457 
Place of Death: County: Knott     City or Town: Lackey
Street No. or Location:  Rural
Length of stay in hospital or community: 03 mos.
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Lackey
Full Name:  Gairl CONLEY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Female, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  09 August 1941
Age: 02 months, 19 days
Birthplace:  Lackey, Ky.
Occupation:  (blank)
Industry or business: (blank)
Father Name:  Johnnie CONLEY
Father Birthplace:  Handshoe, Knott Co.
Mother Maiden Name:  Cora HANDSHOE
Mother Birthplace:  Handshoe, Knott Co.
Informant:  Johnnie CONLEY, Mousie, Ky.
Burial Place:  Handshoe, Ky.
Date:  30 October 1941
Signature of funeral director: O. T. Lemaster, Martin, Ky.
Date received by local registrar:  (blank)
Registrar's Signature:  (blank)
Date of Death:  28 October 1941
I hereby certify that I attended deceased from 27 October 1941 to 28 October 1941, that I last saw him alive on 28 October 1941, and that death occurred on the date stated above at 2:00 a.m. 
Immediate cause of death: non specific diarrhea
Duration:  02 weeks
Due to: (blank)
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: C. R. Messer, M.D., Lackey, Ky.
Date signed:  (blank)
Transcribed by Debbie Tamborski, 12 October 2010