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DEATH
CERTIFICATE
JAMES CONLEY
Date: 07 February 1950
Cert: 04558
Place of Death: County: Floyd City or Town:
Garrett
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Kentucky County:
Floyd
City or Town: Garrett Street Address: (blank)
Full Name: James CONLEY
Date of Death: 07 February 1950
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 19 October 1876
Age: 74 years
Usual Occupation: Farmer
Kind of Industry or business: (blank)
Birthplace: Knott County
Father's Name: Joe CONLEY
Mother's Maiden Name: Polly BAILEY
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Houston COLE
Disease or condition directly leading to death:
(illegible)
Interval between onset and death: (blank)
Due to: (illegible) liver
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: (blank)
Address: Garrett, Ky.
Signature: C. D. Isom, M.D.
Burial, Cremation or Removal: Burial
Date: 09 February 1950
Name of Cemetery or Crematory: Family Cemetery
Location: Garrett, Floyd Co., Ky.
Date received by local registrar: 10 March 1950
Registrar's Signature: Lucy Ransdell
Funeral director & address: G. D. Ryan, Martin, Ky.
Transcribed by Debbie Tamborski, 15 July 2010 |
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