Date:  13 September 1955
Cert:  #20893
Place of Death: County: Knott   City or Town: Hollybush, Ky. - Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.      County:  Perry
City or Town: Dwarf, Ky. - Rural    Street Address: (blank)
Full Name:  Dewey STACY
Date of Death:  13 September 1955
Sex, Color or Race, Marital Status:  Male, White, Married
Date of Birth:  07 June 1898
Age: 57 years
Usual Occupation: Logging
Kind of Industry or business: (blank)
Birthplace:  Pigeon Roost, Ky.
Father's Name:  ? Ell STACY (transcribed as written)
Mother's Maiden Name: ? Angeline (GRIGSBY) (transcribed as written)
Was deceased ever in armed forces: no
Social Security No.:  none
Informant:  Polly Ann STACY
Disease or condition directly leading to death:  Gun Shot piercing vital organs in chest
Interval between onset and death:  (blank)
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: Homicide
Place of injury: Road
City or Town, County, State: Hollybush, Knott, Ky.
Time of Injury: 13 September 1955
Injury occurred at work: Not while at work
How did injury occur: Ambushed on way from grocery store
I hereby certify that I attended deceased from (blank) to (blank), that I last saw the deceased alive on (blank), and that death occurred at 4:30 p.m., from the causes and on the date stated above.
Date signed:  05 October 1955
Address:  Hindman, Ky.
Signature:  John Everage, Coroner, K. C.
Burial, Cremation or Removal: Burial
Date:  16 September 1955
Name of Cemetery or Crematory: Family
Location:  Ary, Ky.
Date received by local registrar:  05 October 1955
Registrar's Signature: Myrtle Slone
Funeral director & address:  John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 10 June 2011