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DEATH
CERTIFICATE
WILSON STACEY
Date 17 August 1916
Cert: # 24623
Name: Wilson STACEY
Male, White, Married
Age: 37 years, 05 months, 02 days
Place of Death: Voting Precinct #9, Knott Co., KY
Birth Date: 25 March 1879
Occupation: Farmer
Place of Birth: Perry Co., Ky.
Name of Father: Dock STACEY
Birthplace Father: Perry Co.
Maiden Name of Mother: (blank)
Birthplace Mother: Perry Co., Ky.
Informant: Frank COMBS, Vest, Ky.
Death Date: 17 August 1916
Cause of Death: Malignant sarcoma of the liver
Signed: M. F. Kelley, M.D.
Burial Place: Richie Cemetery
Date of Burial: 18 August 1916
Undertaker: Sam Francis, Vest, Ky.
File Date: 21 August 1916
Transcribed by Debbie Tamborski, 23 November 2008 |
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