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