DEATH
CERTIFICATE
ANDREW CONLY
Date 04 January 1921
Cert: # 1620
Name: Andrew CONLY
Place of Death: Voting Pct., Knott Co., KY
Male, White, Single
Birth Date: 02 January 1910
Age: 11 years, 00 months, 02 days
Occupation: School Boy
Place of Birth: Knott Co., Ky.
Name of Father: Can CONLY
Birthplace Father: Kentucky
Maiden Name of Mother: Sussie TERRY
Birthplace Mother: Kentucky
Informant: (blank)
Death Date: 04 January 1921
Cause of Death: accute nephritis
Signed: M. F. Kelley, M.D.
Burial Place: Bollen Cemetery
Date of Burial: 05 January 1921
Undertaker: Can Conly, Yellow Mt., Ky.
File Date: 10 January 1921
Transcribed by Debbie Tamborski, 24 December 2008 |
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