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DEATH
CERTIFICATE
JOHN CONLEY
Date 23 March 1932
Cert: 07431
Place of Death: Voting Pct. #1 M. Hospital,
Pikeville, Pike Co., Ky.
Full Name: John CONLEY
Residence: Garett, Ky.
Length of Residence in city where death occurred:
(blank)
Sex, Color or Race, Marital Status Male, White, Married
Husband or Wife of: Laura CONLEY 3d cousin (transcribed
as written)
Date of Birth: 14 August 1876
Age: 55 years, 07 months, 09 days
Occupation: Plumber
Birthplace: Knot Co., Ky.
Father Name: Al CONLEY
Birthplace Father: Knot Co., Ky.
Mother Maiden Name: Jane CONLEY
Birthplace Mother: Knott Co., Ky.
Informant/Address: Curt CONLEY, Garett, Ky.
Filed: 23 March 1932
Registrar: J. C. Wright By W. C. Call
Death of Date: 23 March 1932
I hereby certify that I attended deceased from 21 March 1932
to 23 March 1932, that I last saw him alive on 23 March 1932,
and that death occurred on the date stated above at 2:30 p.m.
Cause of Death: Mastoid infection
Duration: 18 days
Contributory: (blank)
Duration: (blank)
Where was disease contracted if not at place of death?:
(blank)
Did an operation precede death: (blank) Date: (blank)
Was there an autopsy: (blank)
What test confirmed diagnosis: (blank)
Signed/Address: R. W. Raymon, M.D., Pikeville, Ky.
Place of Burial or Removal: (illegible), Ky.
Date of Burial: 23 March 1932
Undertaker/Address: J. W. Call & Son, Pikeville, Ky.
Transcribed by Debbie Tamborski, 31 March 2010 |
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