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DEATH
CERTIFICATE
CLARANCE STACY
Date 21 February 1924
Cert: # 04326
Name: Clarance STACY
Place of Death: Voting Pct. Hindman, Knott Co., KY
Male, White, Single
Birth Date: 01 February 1912
Age: (blank)
Occupation: School Boy
Place of Birth: Perry Co., Ky.
Name of Father: Joe STACY
Birthplace Father: Perry Co., Ky.
Maiden Name of Mother: Nancy GAYHEART
Birthplace Mother: Perry Co., Ky.
Informant: (blank)
Death Date: 21 February 1924
Cause of Death: Disease of the heart
Signed: M. F. Kelley, M.D.
Burial Place: Amburgey Cemetery
Date of Burial: 21 February 1924
Undertaker: Joe Polley, Hindman, Ky.
File Date: 05 March 1924
Transcribed by Debbie Tamborski, 20 February 2009 |
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