Date: 08 September 1948
Cert: 21283
Place of Death: County: Knott City or
Town: Handshoe, Ky.
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Handshoe
Full Name: John Morgan CONLEY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Married
Husband or Wife of: Phoeba Jane
Age of husband or wife if alive: 78 years
Birth date of deceased: 28 December 1863
Age: 84 years, 08 months, 10 days
Birthplace: Knott County
Occupation: Merchant
Industry or business: (blank)
Father Name: John CONLEY
Father Birthplace: Knott County
Mother Maiden Name: Leester LAWHORN
Mother Birthplace: Floyd County
Informant: Troy CONLEY, Hueysville, Ky.
Burial Place: Handshoe, Ky.
Date: 09 September 1948
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 19 October 1948
Registrar's Signature: Rose B. Craft
Date of Death: 08 September 1948
I hereby certify that I attended deceased from 04 September
1948 to
(blank), that I last saw him alive on 04 September 1948, and
that death occurred on the date stated above at 4:00 p.m.
Immediate cause of death: Blot clot
old age
Duration: (blank)
Due to: Arteriosclerosis
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. W. Duke, M.D., Hindman
Date signed: 18 October 1948
Transcribed by Debbie Tamborski, 23 December 2010 |