DEATH CERTIFICATE

ORLENA STACY

Date    28 October 1911
Deathvol Vol:   1911
Cert: # 26905
Name: Orlena STACY
Female, White, Single
Age: 2 years, 21 days
Place of Death: Voting Pct. No. 3, Perry Co., KY
Birth Date: 07 October 1909
Place of Birth: Kentucky
Father: James STACY                                                Birthplace Father: Kentucky
Mother: Matilda ASHLEY                                                       Birthplace Mother: Kentucky
Informant: Lewis HOLLIDAY
Death Date: 28 October 1911
Cause of Death: Bowel trouble no medical attention
Signed:  Not Listed
Burial Place: Williams Cemetery
Undertaker: James Stacy
File Date: 28 October 1911
Transcribed by Debbie Tamborski, 25 June 2008