|
DEATH
CERTIFICATE
HERSHEL CONLEY
Date: 02 March 1946
Cert: 08535
Place of Death: County: Floyd City or Town:
Garrett
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Estill
Full Name: Hershel CONLEY
If Veteran Name War: W W #2
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Dollie CONLEY
Age of husband or wife if alive: 25 years
Birth date of deceased: 24 September 1908
Age: 37 years, (illegible) months, 06 days
Birthplace: Knott Co., Ky.
Occupation: Truck Driver
Industry or business: (blank)
Father Name: Fred COEBURN
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Mary CONLEY
Mother Birthplace: Knott Co., Ky.
Informant: Dollie CONLEY, Estill, Ky.
Burial Place: Garrett, Ky.
Date: 04 March 1946
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 15 April 1946
Registrar's Signature: Lucy Ramsdell
Date of Death: 02 March 1946
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 2:30 p.m.
Immediate cause of death: Skull fracture
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: accident
Date of occurrence: 02 March 1946
Where did injury occur: R. R. Crossing
While at work: Yes
Means of injury: Locomotive
Signature & Address: W. J. Ryan, Embalmer,
Martin, Ky.
Date signed: 03 March 1946
Transcribed by Debbie Tamborski, 08 June 2010 |
|