Date:   25 May 1942
Cert:   14151 
Place of Death: County: Knott     City or Town: Rural
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: 01 day
Usual Residence of Deceased: State: Kentucky  County:  Knott
City or Town:  Rural     Bolyn
Full Name:  Jessie 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:  09 March 1938
Age: 04 years, 02 months, 16 days
Birthplace:  Mousie, Knott Co., Ky.
Occupation:  (blank)
Industry or business: (blank)
Father Name:  John L. CONLEY
Father Birthplace:  Knott Co., Ky., U.S.A.
Mother Maiden Name:  Lizzie GIBSON
Mother Birthplace:  Knott Co., Ky., U.S.A.
Informant:  Lizzie CONLEY, Bolyn, Ky.
Burial Place:  Mousie, Ky.
Date:  26 June 1942
Signature of funeral director: Reece Bolen, Bolyn, Ky.
Date received by local registrar:  30 June 1942
Registrar's Signature:  Ida Livingstone
Date of Death:  25 May 1942
I hereby certify that I attended deceased from 20 May 1942 to 25 May 1942, that I last saw him alive on 25 May 1942, and that death occurred on the date stated above at 4 p.m.
Immediate cause of death:  Ennphality
Duration: 03 days
Due to: Pneumonia
Duration:  07 days
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address:  C. B. Ison, M.D., Garrett, Ky.
Date signed:  29 June 1942
Transcribed by Debbie Tamborski, 17 October 2010