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DEATH
CERTIFICATE
POLLY STAMPER
Date 06 November 1927
Cert: # 28560
Name: Polly STAMPER
Place of Death: Voting Pct. #6, Knott Co., KY
Female, White, Widow
Birth Date: 05 January 1860
Age: 68 years, 08 months, 25 days
Occupation: Housewife
Place of Birth: Knott Co., Ky.
Name of Father: Sam FRANCIS
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Dicy HOGG
Birthplace Mother: Knott Co., KY.
Informant: Silas STAMPER, Sassafras, Ky.
Death Date: 06 November 1927
Cause of Death: Delated heart followed by dropsy
Signed: F. C. Roark, M.D.
Burial Place: John Stamper
Date of Burial: 07 November 1927
Undertaker: (blank)
File Date: 20 December 1927
Transcribed by Debbie Tamborski, 20 February 2009 |
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