Date:  27 November 1955
Cert:  #25501
Place of Death: County: Knott      City or Town: Mousie - Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Mousie - Rural    Street Address: (blank)
Full Name:  James FARLEY
Date of Death:  27 November 1955
Sex, Color or Race, Marital Status:  Male, White, Married
Date of Birth:  01 April 1918
Age: 37 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace:  West Virginia
Father's Name:  Jim FARLEY
Mother's Maiden Name:  Dorthy DINGESS
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant:  Wess ROBERTS
Disease or condition directly leading to death:  Heart attack
Interval between onset and death:
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to (blank), that I last saw the deceased alive on (blank), and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  28 November 1955
Address:  Hindman, Ky.
Signature:  John Everage, Coroner, Knott Co.
Burial, Cremation or Removal: Burial
Date:  28 November 1955
Name of Cemetery or Crematory: Chaffins
Location:  Mousie, Ky.
Date received by local registrar:  05 December 1955
Registrar's Signature: Myrtle Slone
Funeral director & address:  John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 10 June 2011