Date: 14 July 1945
Cert: 17465
Place of Death: County: Knott City or
Town: Lackey, Ky.
Name of Hospital or Institution: Stumbo Mem. Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Lackey, Ky.
Full Name: John CONLEY
If Veteran Name War: (blank)
Social Security No.: 403-14-6842
Sex, Color or Race, Marital Status: Male, White
Husband or Wife of: Katie CONLEY
Age of husband or wife if alive: Deceased
Birth date of deceased: 1891
Age: 54 years
Birthplace: Knott County
Occupation: Farming
Industry or business: (blank)
Father Name: Dave CONLEY
Father Birthplace: Knott County
Mother Maiden Name: Katie OWENS
Mother Birthplace: Knott County
Informant: Frank MOORE, Lackey, Ky.
Burial Place: Garrett, Ky.
Date: 16 July 1945
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: (blank)
Registrar's Signature: (blank)
Date of Death: 14 July 1945
I hereby certify that I attended deceased from 14 July 1945 to
14 July 1945, that I last saw him alive on 14 July 1945, and
that death occurred on the date stated above at 10:30 a.m.
Immediate cause of death: Gun shot wound of abdomen
Duration: (blank)
Due to: Internal Hemorrhage
Major findings of operations: none Of
Autopsy: none
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: A. R. Hodge, M.D., Lackey, Ky.
Date signed: 14 July 1945
Transcribed by Debbie Tamborski, 27 November 2010 |