DEATH CERTIFICATE
NANCY STACY
Name: Nancy Stacy
Female, White, Widow
Age: 85
Occupation: At home
Place of Death: Jackson, Breathitt Co., Ky
Birth Date: 5 May 1865
Place of Birth: Knott County, Ky
Spouse: None given
Father: Wayne Combs
Mother: Judy Dobson
Informant: N. H. Deaton
Death Date: 21 June 1950
Cause of Death: Gastroenteritis, acute
Signed: F. C. Lewis, M.D.
Burial Place: Woodside cem., Middletown, Ohio
Undertaker: Ray & Blake, Jackson, Ky
File Date: 26 June 1950
Transcribed by John F. "Freddie" Wilson
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