Date:   25 December 1941
Cert:   29463 
Place of Death: County: Knott     City or Town:  Mousie
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Mousie     rural
Full Name:  John L. CONLEY
If Veteran Name War: 1st World War
Social Security No.: 404-09-9548
Sex, Color or Race, Marital Status:  Male, White, Married
Husband or Wife of:  Elizabeth GIBSON CONLEY
Age of husband or wife if alive: (blank)
Birth date of deceased:  03 February 1892
Age: 49 years, 10 months, 22 days
Birthplace:  Knott Co.
Occupation:  Farmer
Industry or business: (blank)
Father Name:  Preston CONLEY
Father Birthplace:  Floyd Co.
Mother Maiden Name:  Mary BOLEN
Mother Birthplace:  Knott Co.
Informant:  Reece BOLEN, Bolyn, Ky.
Burial Place:  Mousie
Date:  26 December 1941
Signature of funeral director: Reece Bolen, Bolyn
Date received by local registrar:  29 December 1941
Registrar's Signature:  Ida Livingston
Date of Death:  25 December 1941
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death: (blank)
Duration: (blank)
Due to: Shot with shotgun 17 shots entered body near heart, died instantly
Major findings of operations: (blank)
Accident, suicide, or homicide: homicide
Date of occurrence: 25 December 1941
Where did injury occur: Store
While at work: (blank)
Means of injury: Shot
Signature & Address:  Lizzie Conley 
Date signed:  (blank)
Transcribed by Debbie Tamborski, 12 October 2010