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 |