DEATH CERTIFICATE

MAXINE STAMPER

Date:  15 December 1952
Cert:  28248 
Place of Death: County: Knott      City or Town: Rural
Length of stay (in this place): All of life
Street address or location:  Littcarr, Ky.
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  Rural    Street Address:  Littcarr, Ky.
Full Name:  Maxine STAMPER
Date of Death:  15 December 1952
Sex, Color/Race, Marital Status: Female, White, Never Married
Date of Birth:  08 July 1938
Age:  14 years
Usual Occupation: None
Kind of Industry or business: None
Birthplace:  Knott Co., Ky.
Father's Name:  Victor STAMPER
Mother's Maiden Name:  Betty SMITH
Was deceased ever in armed forces: No
Social Security No.:  None
Informant:  Betty SMITH
Disease or condition directly leading to death:  Tuberculosis of the lungs
Interval between onset and death:  (blank)
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  No
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 July 1952 to  15 December 1952, that I last saw the deceased alive on 15 December 1952, and that death occurred at 10 p.m., from the causes and on the date stated above.
Date signed:  20 December 1952
Address:  Hindman
Signature:  M. F. Kelley
Burial, Cremation or Removal:  Burial
Date:  18 December 1952
Name of Cemetery or Crematory:  Stamper Cemetery
Location:  Littcarr, Ky., Knott Co.
Date received by local registrar:  30 June 1953
Registrar's Signature:  Rose B. Craft
Funeral director & address:  John N. Taul, Hindman, Ky.
Transcribed by Debbie Tamborski, 28 January 2011