DEATH CERTIFICATE

 RUSSELL CONLEY

Date:   03 December 1942
Cert:   09346 
Place of Death: County: Knott     City or Town: Soft Shell
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County:  Knott
City or Town:  (blank)
Full Name:  Russell CONLEY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of:  Eva CONLEY
Age of husband or wife if alive:  24 years
Birth date of deceased:  19 December 1910
Age: 32 years
Birthplace:  Knott Co., Ky.
Occupation:  Farmer
Industry or business: (blank)
Father Name:  David CONLEY
Father Birthplace:  Knott Co.
Mother Maiden Name:  Margaret RAMEY
Mother Birthplace:  Knott Co.
Informant:  Troy CONLEY, Soft Shell
Burial Place:  Ramey Cemetery
Date:  December 1943 (transcribed as written)
Signature of funeral director:  Lee Gayheart, Soft Shell
Date received by local registrar:  15 March 1943
Registrar's Signature:  Ida Livingston
Date of Death:  03 December 1942
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death:  Pulmonary T. B.
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. W. Duke, M.D., Hindman
Date signed:    (illegible)
Transcribed by Debbie Tamborski, 17 October 2010