|
DEATH
CERTIFICATE
HIRAM H. STAMPER
Date 23 April 1950
Cert: 10824
Place of Death: County: Perry City or Town:
Hazard, Ky.
Length of stay in hospital or community:
Name of Hospital or Institution: Mt. Mary Hospital
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Sassafras
Full Name: Hiram H. STAMPER
Date of Death: 23 April 1950
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 22 October 1889
Age: 60 years
Usual Occupation: Farmer
Kind of Industry or business: Farm
Birthplace: Knott County, Ky.
Father's Name: John STAMPER
Mother's Maiden Name: Pollie FRANCIS
Was deceased in ever in armed forces: Yes, World War I
Social Security No.: (blank)
Informant: Verta STAMPER
Disease/condition directly leading to death: bleeding
peptic ulcer
Interval between onset and death: 24 hours
Due to: Massive hemorrhage and shock
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 22 April 1950 to
23 April 1950, that I
last saw the deceased alive on 23 April 1950, and that death occurred on
the date stated above at (blank), from the causes and on the date
stated above.
Date signed: 25 April 1950
Address: Hazard, Ky.
Signature: W. O'Donnell, M.D.
Burial, Cremation or Removal: Burial
Date: 25 April 1950
Name of Cemetery or Creamatory: Stamper Cemetery
Location: Littcarr, Knott, Ky.
Date received by local registrar: 25 April 1950
Registrar's Signature: Georgia Pendleton
Funeral director and address: Maggard and Garrett, Hazard, Ky.
Transcribed by Debbie Tamborski, 17 February 2010 |
|