DEATH CERTIFICATE

CARLES STAMPER

Date  01 April 1924
Cert: #  18800 
Name:  Carles STAMPER 
Place of Death: Voting Pct. #2, Knott Co., KY
Male, White, Single
Birth Date:  18 January 1903
Age:  21 years, 02  months, 15 days
Occupation:  Farmer
Place of Birth:  Ky.
Name of Father:  John STAMPER 
Birthplace Father:  Ky. 
Maiden Name of Mother:  Polleyan FRANCIS
Birthplace Mother:  Ky. 
Informant:  (blank)
Death Date:  01 April 1924 
Cause of Death:  Pneumonia 
Signed:  F. C. Roark, M.D.
Burial Place:  John Stamper 
Date of Burial:  0? April 1924 
Undertaker:  10 September 1924 
File Date: 
Transcribed by Debbie Tamborski, 15 February 2009