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DEATH
CERTIFICATE
LORRY STACY
Date 21 June 1918
Cert: # 40505
Name: Lorry STACY
Female, White, Single
Age: Stillborn
Place of Death: Voting Precinct Irishman, Knott Co., KY
Birth Date: 21 June 1918
Occupation: None
Place of Birth: Knott Co.
Name of Father: McKinley STACY
Birthplace Father: Perry Co., Ky.
Maiden Name of Mother: Mary J. FIELDS
Birthplace Mother: Perry Co., Ky.
Informant: (blank)
Death Date: 21 June 1918
Cause of Death: Stillbirth unknown
Signed: F. C. Roark, M.D.
Burial Place: (blank)
Date of Burial: (blank)
Undertaker: (blank)
File Date: (blank)
Transcribed by Debbie Tamborski, 23 November 2008 |
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