Date:  05 January 1950
Cert:  01123 
Place of Death: County: Knott      City or Town: Lackey
Length of stay (in this place): (blank)
Name of Hospital or Institution: Stumbo Memorial Hospital
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town: Garrett, Ky.     Street Address: Lackey, Ky.
Full Name:  Melvin CONLEY
Date of Death:  05 January 1950
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  20 October 1893
Age:  56 years, 02 months, 15 days
Usual Occupation:  Miner
Kind of Industry or business: Coal
Birthplace:  Knott Co., Ky.
Father's Name:  Clabe CONLEY
Mother's Maiden Name:  Renie CHAFFINS
Was deceased ever in armed forces: No
Social Security No.: 406-03-2350
Informant:  Son - Oakley CONLEY
Disease/condition directly leading to death: Pulmonary Embolism
Interval between onset and death:  (blank)
Due to (b):  Pneumonia Lobar R. L. L.
Due to (c):  Cholecystectomy & Gastroenterostomy
Date of Operation: (blank)
Major findings of operation: Non functioning gall bladder & gastric ulcer
Autopsy:  No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 25 December 1949 to 05 January 1950, that I last saw the deceased alive on 05 January 1950, and that death occurred at 6 a.m., from the causes and on the date stated above.
Date signed:  12 January 1950
Address:  Lackey, Ky.
Signature:  Robert D. Eastridge, M.D.
Burial, Cremation or Removal:  Burial
Date:  07 January 1950
Name of Cemetery or Crematory:  Chaffin
Location:  Garrett, Ky.
Date received by local registrar: 19 January 1950
Registrar's Signature:  Rose B. Craft
Funeral director/address: Hindman Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 12 January 2011