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DEATH
CERTIFICATE
ANDREW STACY
Date 29 June 1919
Cert: # 18997
Name: Andrew STACY
Male, White, Infant
Age: 10 years, 01 months, 02 days
Place of Death: Voting Precinct #4, Knott Co., KY
Birth Date: 25 May 1908
Occupation: None
Place of Birth: Knott Co., Ky.
Name of Father: Mack STACY
Birthplace Father: Knott Co.
Maiden Name of Mother: Sarah SHEPARD
Birthplace Mother: Knott Co.
Informant: A. W. SHEPARD, Elmrock
Death Date: 29 June 1919
Cause of Death: Flux
Signed: (blank)
Burial Place: Handshoe graveyard
Date of Burial: 30 June 1919
Undertaker: J. M. Allen, Elmrock
File Date: 19 July 1919
Transcribed by Debbie Tamborski, 23 November 2008 |
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