Miscellaneous Certificates of Death





1. PLACE OF DEATH: ALABAMA

County Jefferson Registration District No. 373702 6 File No.  

Civil Dist. No. 3

Village or City Birmingham

  1. Usual Residence of Deceased
    • State Alabama
    • County Jefferson
    • City Birmingham
    • Street Address 1119 - No. 44 St.
  2. Full Name Robert Anderson Condley
  3. Sex Male
  4. Color or Race White
  5. Social Security Number  
  6. Single, Married, Widowed or Divorced Married
    • Name and Age of Spouse Margaret Condley
  7. Date of Birth April 28, 1855
  8. Age 84 Yrs. 8 Mos. 11 Das.
  9. Birthplace Tennessee
  10. Occupation Retired
  11. Industry or Business  
  12. Name of Father M. M. Condley
  13. Birthplace of Father Kentucky
  14. Maiden Name of Mother Mary Cobbs
  15. Birthplace of Mother Tennessee
  16. Date of Death January 9, 1940
  17. I hereby certify that I attended deceased from January 3, 1940, to January 8, 1940, that I last saw him alive on January 6, 1940, and that death occurred, on the date state above, at 2:20 a.m.
  18. THE CAUSE OF DEATH was as follows:

    Hemorage, intestinal; degenerative arterio scleratic changes of blood vessels

    Duration

    Signed Chas. Watheston, M. D. Jan. 9, 1940 (Address) (Left Blank)

  19. Length of Residence (Left Blank)
  20. Place of Burial or Removal Pulaski, Tenn. Date of Burial January 11, 1940
  21. The Above Is True To The Best Of My Knowledge Mrs. Anna Smith, Daughter Address Birmingham, AL
  22. Undertaker J. Hilderbrand Address McGuire Co.
  23. E. W. Whiteside, Registrar

Submitted by: Debbie
So Cal Condleys



PLACE OF DEATH: KENTUCKY

County McCracken Registration District No. 935-2360 File No. 116

Civil Dist.  

Village or City Paducah

  1. Full Name Andrew Coffman Overton
  2. Sex Male
  3. Date of Death March 6th, 1988
  4. Social Security Number 406-28-6355
  5. Age Last Birthday 84
  6. Date of Birth October 16, 1903
  7. Birthplace Prospect, Tenn.
  8. Was Decedent Ever A Member of the Armed Forces No
    • Place of Death
    •    
    • Other Residence
    • Facility Name 3929 Old Lovelaceville Rd.
    • City, Town Paducah
    • County McCracken
  9. Marital Status Married
    • Name and Age of Spouse Hazel W. Overton
  10. Occupation Lockman, Retired
  11. Industry or Business U.S. Corp. of Engineers
  12. Name of Father John T. Overton
  13. Birthplace of Father Tennessee
  14. Maiden Name of Mother Mattie P. Reed
  15. Birthplace of Mother Alabama
  16. Date of Death March 6, 1988
  17. I hereby certify that I attended deceased from  to  , that I last saw him alive on   , and that death occurred, on the date state above, at 10:43 a.m.
  18. The Cause Of Death was as follows:

    Arterioscleratic heart disease and congestive failure.

    Duration  

    Signed Kenneth G. Cook, M. D.; March 7, 1988 (Address) 1532 Lone Oak Road, Paducah, KY 42001

  19. Length of Residence (Left Blank)
  20. Place of Burial or Removal Mt. Kenton Cemetery, Paducah, KY Date of Burial March 8, 1988
  21. The Above Is True To The Best Of My Knowledge Kenneth G. Cook, M.D Address Paducah, KY
  22. Undertaker Roth Funeral Home Address McCracken Co., KY
  23. Betty Flournoy, Registrar

Submitted by:
Paducah, KY