Date: 13 February 1949
Cert: 03261
Place of Death: County: Knott
City or Town: Littcarr Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Littcarr Street Address:
(blank)
Full Name: Kelly STAMPER
Date of Death: 13 February 1949
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 22 July 1891
Age: 57 years, 06 months, 21 days
Usual Occupation: Miner
Kind of Industry or business: Mines
Birthplace: Knott County, Ky.
Father's Name: John STAMPER
Mother's Maiden Name: Polly FRANCIS
Was deceased ever in armed forces: Yes, World War I
Social Security No.: (blank)
Informant: Mrs. Kelly STAMPER
Disease or condition directly leading to death: Mitral
insufficiency
Interval between onset and death: (blank)
Due to: albumninrea
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (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 1945 to
1949, that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 17 February 1949
Address: Hazard, Ky.
Signature: R. L. Collins, M.D.
Burial, Cremation or Removal: Burial
Date: 15 February 1949
Name of Cemetery or Crematory: Stamper Cemetery
Location: Littcarr, Ky.
Date received by local registrar: 18 February 1949
Registrar's Signature: Rose B. Craft
Funeral director & address: Maggard-Blair & Garrett
Funeral Home, Hazard, Ky.
Transcribed by Debbie Tamborski, 08 January 2011 |