Date: 05 January 1944
Cert: 13001
Place of Death: County: Knott City or
Town: Spider, Ky.
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Spider
Full Name: William Benton STAMPER
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Rachel STAMPER
Age of husband or wife if alive: 55 years
Birth date of deceased: 17 December 1882
Age: 62 years, 00 months, 18 days
Birthplace: Spider, Ky.
Occupation: Teacher
Industry or business: (blank)
Father Name: William Thomas STAMPER
Father Birthplace: Spider, Ky.
Mother Maiden Name: Betty ADAMS
Mother Birthplace: Letcher Co.
Informant: Rachel STAMPER, Spider, Ky.
Burial Place: Bergy Cemetery
Date: 10 January 1944
Signature of funeral director: Craft Funeral Home,
Whitesburg Neon, Ky.
Date received by local registrar: 13 March 1945
Registrar's Signature: Rose B. Craft acting Registrar per
B. Carns
Date of Death: 05 January 1944
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Ruptured peptic ulcer
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. R. Aker, M.D., Anco, Ky.
Date signed: 13 March 1945
Transcribed by Debbie Tamborski, 24 November 2010 |