DEATH CERTIFICATE

(Stillbirth) CONLEY

Date  25 October 1922
Cert: #  22516
Name:  (Stillbirth) CONLEY
Place of Death: Voting Pct. #16, Knott Co., KY
Male, White, Single
Birth Date:  25 October 1922
Age:  Stillbirth
Occupation:  (blank) 
Place of Birth:  Ky.
Name of Father:  Ulisus CONLEY 
Birthplace Father:  Ky. 
Maiden Name of Mother:  Tilda SMITH
Birthplace Mother:  Ky. 
Informant:  Balis GRIGSBY
Death Date:  25 October 1922
Cause of Death:  Stillbirth
Signed:  R. L. Kelley, M.D.
Burial Place:  (blank) 
Date of Burial:  25 October 1922 
Undertaker:  (blank) 
File Date:  (blank) 
Transcribed by Debbie Tamborski, 24 December 2008