Date: 20 May 1951
Cert: 12464
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): All of life
Street address or location: Mousie
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
precinct: Mousie, Ky.
Full Name: Robert CONLEY
Date of Death: 20 May 1951
Sex, Color or Race, Marital Status: Male, White, Single
Date of Birth: 20 March 1925
Age: 26 years
Usual Occupation: Farmer
Kind of Industry or business: Farming
Birthplace: Knott Co., Ky.
Father's Name: John L. CONLEY
Mother's Maiden Name: Lizzie GIBSON
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Lizzie CONLEY
Disease/condition directly leading to death:
Tuberculosis of lungs
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
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 01 April 1951 to
20 May 1951, that I last saw the deceased alive on 01 April
1951, and
that death occurred at 4 a.m., from the causes and on the
date stated above.
Date signed: 23 May 1951
Address: Hindman, Ky.
Signature: M. F. Kelley
Burial, Cremation or Removal: Burial
Date: 22 May 1951
Name of Cemetery or Crematory: Conley Cemetery
Location: Mousie, Ky.
Date received by local registrar: 01 June 1951
Registrar's Signature: Rose B. Craft
Funeral director & address: John N. Taul, Director,
Hindman Funeral Home
Transcribed by Debbie Tamborski, 18 January 2011 |