DEATH CERTIFICATE

John Stacy

Cert: #21350 Name: John Stacy Male, White, Married Age: About 32 Occupation: Farming Place of Death: Forked Mouth, Perry Co. Birth Date: Blank Place of Birth: Ky Spouse: Not listed Father: Alfred Stacy, Ky Mother: Rachel Baker, Ky Informant: S. H. Campbell Death Date: 27 July 1926 Cause of Death: Revolver wound of the head - Homicidal Signed: Blank Burial Place: Willard, Ky Undertaker: Blank File Date: 11 Sept. 1926 Transcribed by John F. "Freddie" Wilson 12 May 2005 John Stacy born 24 July 1896; married Rusha Stacy 1920, Perry Co., Ky; Buried Sukey Gap Cemetery.