DEATH CERTIFICATE

JOSEPH STACY

Date  12 December 1936
Cert:  5176
Name:  Joseph STACY
Place of Death: Voting Pct. Decoy, Knott Co., KY
Residence:  (blank)
Length of residence: (blank)
Male, White, Widowed
Husband or Wife of:  (blank)
Birth Date:  04 October 1859
Age: 77 years, 02 months, 08 days
Occupation:  Farmer
Place of Birth: Kentucky
Name of Father:  L. STACY
Birthplace Father:  Kentucky
Maiden Name of Mother:  Mrs. BRADLY
Birthplace Mother:  Kentucky
Informant:  James STACY, Decoy, Ky.
Death Date:  12 December 1936
Cause of Death:  Disease of the heart caused by rheumatism
Signed: M. F. Kelley, M.D., Hindman, Ky.
Burial Place:  Stacy Cemetery
Date of Burial:  13 December 1936
Undertaker:  James Stacy, Decoy, Ky.
File Date:  13 December 1936
Registrar:  Garlan Combs
Transcribed by Debbie Tamborski, 18 September 2009