DEATH CERTIFICATE

HENRY CONLEY

Date   06 September 1936
Cert:  27730 
Name:  Henry CONLEY
Place of Death: Vot Pct. Lackey, Stumbo M. Hosp., Knott Co., KY
Residence:  Coliq, Ky.
Length of residence: (blank)
Male, White, Married
Husband or Wife of:  Isoni CONLEY
Birth Date:  1885 
Age: 51 years
Occupation:  Farmer
Place of Birth:  Ky.
Name of Father:  Dane CONLEY
Birthplace Father:  Floyd Co. 
Maiden Name of Mother:  Lacy HICKS
Birthplace Mother:  Coliq, Ky. 
Informant:  Sesse Mone, Coliq, Ky. 
Death Date:  06 September 1936 
Cause of Death:  Baculary Dysentery and Hemorhages & Toxamin  
Signed:  John O. Saylers, M.D., Stumbo Memo. Hosp., Lackey, Ky.
Burial Place:  Coliq, Ky.
Date of Burial:  10 September 1936
Undertaker:  G. D. Ryan, Martin, Ky.
File Date:  19 October 1936
Transcribed by Debbie Tamborski, 18 September 2009