DEATH CERTIFICATE

HERMAN CONLEY

Date:    01 February 1947
Cert:    6623 
Place of Death: County: Knott   City or Town: Handshoe, Ky.    Rural
Street Number or Location:  At own home
Length of stay in hospital or community: 01 months, 12 days
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Handshoe, Ky. - Rural 
Full Name:  Herman CONLEY 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Male, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  20 December 1946
Age:  01 months, 12 days
Birthplace:  Handshoe, Ky., Floyd Co. 
Occupation:  (blank) 
Industry or business:  (blank)
Father Name:  Golden CONLEY 
Father Birthplace:  Handshoe, Ky. 
Mother Maiden Name:   Mae HANDSHOE 
Mother Birthplace:   Handshoe, Ky., Knott Co. 
Informant:  Golden CONLEY, Handshoe 
Burial Place:   Handshoe, Ky. 
Date:  02 February 1947 
Signature of funeral director:  (blank)
Date received by local registrar: 16 March 1947 
Registrar's Signature:  Rose B. Craft
Date of Death:  01 February 1947 
I hereby certify that I attended deceased from 01 February 1947 to 01 February 1947, that I last saw him alive on 01 February 1947, and that death occurred on the date stated above at 7 p.m.
Immediate cause of death:  Broncho Pneumonia 
Duration:  04 days
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:  Mark Dempsey, M.D., Garrett, Ky.
Date signed:  11 February 1947 
Transcribed by Debbie Tamborski, 16 December 2010