Date: 19 May 1947
Cert: 13816
Place of Death: County: Knott City or
Town: Mousie, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Mousie Rural
Full Name: Willie B. CONLEY
If Veteran Name War: (blank)
Social Security No.: 403-07-8655
Sex, Color or Race, Marital Status: Male, White
Husband or Wife of: Martha RAMEY CONLEY
Age of husband or wife if alive: 55 years
Birth date of deceased: 22 August 1881
Age: 65 years, 08 months, 27 days
Birthplace: Bolyn, Knott Co., Ky.
Occupation: Miner
Industry or business: Coal Mining
Father Name: Albert CONLEY
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Jane HICKS
Mother Birthplace: Knott Co., Ky.
Informant: Ollie BOWLING, Mousie, Ky.
Burial Place: Mousie, Ky.
Date: 21 May 1947
Signature of funeral director: Friends, Mousie
Date received by local registrar: 12 June 1947
Registrar's Signature: Rose B. Craft
Date of Death: 19 May 1947
I hereby certify that I attended deceased from 05 May 1947 to
19 May 1947, that I last saw him alive on 16 May 1947, and
that death occurred on the date stated above at 11:30 p.m.
Immediate cause of death: Cancer of stomach
Duration: (blank)
Due to: Ulcer
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, Ky.
Date signed: 12 June 1947
Transcribed by Debbie Tamborski, 16 December 2010 |