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DEATH
CERTIFICATE
ROYAL CONLEY
Date 12 July 1919
Cert: # 21494
Name: Royal CONLEY
Boy, White, Child
Age: 01 years, 06 months
Place of Death: Vot. Prec. Lackey, Jones Fork, Knott Co., KY
Birth Date: 01 February 1918
Place of Birth: Ky.
Name of Father: Johney BOLEN
Birthplace Father: Ky.
Maiden Name of
Mother: Menta CONLEY
Birthplace Mother: Ky.
Informant: Tivis BOLEN, Garrett, Ky.
Death Date: 12 July 1919
Cause of Death: Flux
Signed: N. N. Collins, M.D.
Burial Place: Bolen Cemetery
Date of Burial: 13 July 1919
Undertaker: J. M. Bolen, Garrett, Ky.
File Date: 12 July 1919
Transcribed by Debbie Tamborski, 04 November 2008 |
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