DEATH CERTIFICATE

ROBERT CONLEY

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