DEATH CERTIFICATE

REX STAMPER

Date    21 June 1913
Deathvol Vol:   1913
Cert: # 16334
Name: Rex STAMPER
Male, White, Single
Age: 10 months, 4 days
Place of Death: Voting Pct. No. 6, Dirk, Knott Co., KY
Birth Date: September 1912
Place of Birth: Knott Co.
Father: Silas STAMPER                                                   Birthplace Father: Knott Co., Ky.
Mother: Cassie MADDEN                                                      Birthplace Mother: Knott Co., Ky.
Informant: Silas STAMPER, Spider, Ky.
Death Date: 21 June 1913
Cause of Death: chronic gastritis with menengeal trouble
Signed:  M. F. Kelley, M.D.
Burial Place: Stamper Grave
Undertaker: Silas Stamper, Spider, Ky.
File Date: 21 June 1913
Transcribed by Debbie Tamborski, 23 July 2008