Her death certificate records Mary Anne Clem, age 59, born 1867 in Kentucky, died 11 Nov 1926 at Eastern State Hospital, Lexington, Fayette Co., Ky, married, wife of George Clem, father William Conley, born in Ky, mother’s maiden name Margaret Crouch, birthplace blank, cause of death general paralysis of the insane, informant State Hospital Records, burial in Lexington Cemetery.

(”General paralyis of the insane” is what they used to call the late stage of syphilis.)