Date:  22 July 1950
Cert:  14716 
Place of Death: County: Knott      City or Town: Rural
Length of stay (in this place): All of life
Street address or location:  Hindman, Ky.
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Rural     If rural give precinct:  Hindman, Ky.
Full Name:  Jennie STACY
Date of Death:  22 July 1950
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth:  06 August 1876
Age:  73 years
Usual Occupation:  Housewife
Kind of Industry or business: Keeping house
Birthplace:  Perry Co.
Father's Name:  Harrison WILLIAMS
Mother's Maiden Name:  Elizabeth FULLER
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Mrs. Floyd BURGESS
Disease/condition directly leading to death: Cerebral Hemorrhage
Interval between onset and death:  (blank)
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 11 July 1950 to 22 July 1950, that I last saw the deceased alive on 22 July 1950, and that death occurred at 5 p.m., from the causes and on the date stated above.
Date signed:  24 July 1950
Address:  Hindman, Ky.
Signature:  M. F. Kelley
Burial, Cremation or Removal:  Burial
Date:  24 July 1950
Name of Cemetery or Crematory:  Stacy Cemetery
Location:  Perry Co., Ky.
Date received by local registrar: 27 July 1950
Registrar's Signature:  Rose B. Craft
Funeral director & address:  Hindman Funeral Home
Transcribed by Debbie Tamborski, 17 January 2011