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DEATH
CERTIFICATE
JACK CONLEY
Date 04 October 1919
Cert: # 28048
Name: Jack CONLEY
Male, White, Married
Age: 62 years, 04 days
Place of Death: Voting Precinct #4, Knott Co., KY
Birth Date: 03 September 1857
Occupation: Farmer
Place of Birth: Ky.
Name of Father: David CONLEY
Birthplace Father: Ky.
Maiden Name of
Mother: Polly BRUER
Birthplace Mother: Ky.
Informant: Brice HANDSHOE, Elmrock
Death Date: 04 October 1919
Cause of Death: Flux, no physician in attendance
Signed: (not listed)
Burial Place: Terry Cemetery
Date of Burial: 05 October 1919
Undertaker: Thee Handshoe, Elmrock
File Date: 05 October 1919
Transcribed by Debbie Tamborski, 03 November 2008 |
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