DEATH CERTIFICATE

MART CONLEY

Date  20 September 1917
Cert: #  30910
Name:  Mart CONLEY
Male, White, Single
Age: 36 years, 05 months, 19 days
Place of Death: Vot. Prec. Jones Fork, Garrett, Knott Co., KY
Birth Date:  01 April 1881
Occupation:  Farmer
Place of Birth:  Lackey, Ky.
Name of Father:  Joe CONLEY
Birthplace Father:  Lackey, Ky.
Maiden Name of Mother:  Ann SMITH
Birthplace Mother:  Lackey, Ky.
Informant:  Woots CONLEY, Lackey, Ky.
Death Date:  20 September 1917
Cause of Death:  Typhoid fever
Signed:  N. N. Collins, M.D.
Burial Place:  Conley Burial ground
Date of Burial:  21 September 1917
Undertaker:  John Conley, Lackey, Ky.
File Date:  28 November 1917
Transcribed by Debbie Tamborski, 25 November 2008