DEATH CERTIFICATE

POLLY STACY

Date    18 September 1913
Deathvol Vol:   1913
Cert: # 24779
Name: Polly STACY
Female, White
Age: 8 years, 5 months, 29 days
Place of Death: Voting Pct. Decoy, Quicksand, Knott Co., KY
Birth Date: 19 March 1905
Place of Birth: Knott County
Father: James STACY                                                   Birthplace Father: Breathitt County
Mother: Sally SMITH                                                       Birthplace Mother: Perry County
Informant: John STACY, Decoy, Ky.
Death Date: 18 September 1913
Cause of Death: Eplepsey
Signed:  Not Listed
Burial Place: Stacy Graveyard
Undertaker: John Stacy, Decoy, Ky.
File Date: Not Listed
Transcribed by Debbie Tamborski, 23 July 2008