Date: 23 June 1942
Cert: 16449
Place of Death: County: Knott City or
Town: Hindman
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Hindman
Full Name: Douglas McArthur STAMPER
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 02 May 1942
Age: 01 months, 21 days
Birthplace: Hindman, Knott Co., Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Hiram STAMPER
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Martha KELLY
Mother Birthplace: Knott Co., Ky.
Informant: Martha STAMPER, Hindman
Burial Place: Vest, Ky.
Date: 24 June 1942
Signature of funeral director: Family, Hindman
Date received by local registrar: 06 August 1942
Registrar's Signature: Ida Livingston
Date of Death: 23 June 1942
I hereby certify that I attended deceased from 23 June 1942 to
23 June 1942, that I last saw him alive on 23 June 1942, and
that death occurred on the date stated above at 4 p.m.
Immediate cause of death: accute indigestion
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: M. F. Kelley, Hindman
Date signed: 06 August 1942
Transcribed by Debbie Tamborski, 18 October 2010 |