DEATH CERTIFICATE

POLLEY STAMPER

Date 06 October 1927
Cert: # 25897
Name: Polley STAMPER
Place of Death: Voting Pct. #2, Knott Co., KY
Female, White, Married
Husband or Wife of:  John STAMPER
Birth Date:  1860
Age: 67 years
Occupation:  Housewife
Place of Birth:  Ky.
Name of Father:  Sam Francis
Birthplace Father:  Ky.
Maiden Name of Mother: Dica FRANCIS
Birthplace Mother:  (blank)
Informant:  Selie FRANCIS, Littcarr, Ky.
Death Date:  06 October 1927
Cause of Death:  Heart failure
Signed:  (blank)
Burial Place:  John Stamper
Date of Burial:  07 October 1927
Undertaker:  Mat Combs, Litt Carr
File Date:  10 December 1927 
Transcribed by Debbie Tamborski, 22 February 2009