DEATH CERTIFICATE

MARIAH STACY

Date  15 October 1911
Deathvol 
Vol:   1911
Cert: # 26331
Name: Mariah STACY
Female, White, Married
Age: 61 years
Place of Death: Voting Pct No. #5, Cordia, Knott Co., KY
Birth Date:  23 March 1850
Place of Birth:  Kentucky
Father:  Levi COMBS
Mother:  Sylvia GRIGSBY
Informant:  Ben STACY
Death Date:  15 October 1911
Cause of Death:  Pneumonia
Signed:   Monro Cook, M.D.
Burial Place:  Gearheart
Undertaker:  Ben Stacy
File Date:  29 October 1911
Transcribed by Debbie Tamborski, 3 May 2008