DEATH CERTIFICATE

KELLY STAMPER

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