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DEATH
CERTIFICATE
SHADE STACY
Date 18 January 1923
Cert: Duplicate # 02160 Original # 02156
Name: Shad STACY
Place of Death: Voting Pct. Hindman, Knott Co., KY
Male, White, Married
Birth Date: 18 September 1858
Age: 64 years, 03 months, 10 days
Occupation: Farmer
Place of Birth: Perry Co., Ky.
Name of Father: John STACY
Birthplace Father: Perry Co., Ky.
Maiden Name of Mother: Mary CORNETT
Birthplace Mother: Knott Co., Ky.
Informant: Lizzie STACY, Hindman, Ky.
Death Date: 18 January 1923
Cause of Death: Reynards Disease
Contributory: General Dropsy
Signed: F. C. Roark, M.D.
Burial Place: (blank)
Date of Burial: (blank)
Undertaker: (blank)
File Date: (blank)
Transcribed by Debbie Tamborski, 20 February 2009 |
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