DEATH CERTIFICATE

WILLIE B. CONLEY

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