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DEATH
CERTIFICATE
WILLIE STEDHAM
Date 19 December 1929
Cert: 03495
Place of Death: Voting Pct: Estep, Garrett, Floyd Co.,
Ky.
Full Name: Willie STEDHAM
Residence: (blank)
Length of Residence in city where death occurred:
(blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: (blank)
Date of Birth: 22 September 1905
Age: 24 years
Occupation: Tipple Laborer
Birthplace: Vest, Ky.
Father Name: Harve STEDHAM
Birthplace Father: Ky.
Mother Maiden Name: Darcas GRISBY
Birthplace Mother: Ky.
Informant/Address: Harve STEDHAM, Garrett, Ky.
Filed: (blank)
Registrar: G. S. Howard
Death of Date: 19 December 1929
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw h-- alive on (blank), and that death
occurred on the date stated above at (blank)
Cause of Death: Mashed between R R
Cars on tipple
Duration: Died Sudden
Contributory: (blank)
Duration: (blank)
Where was disease contracted if not at place of death?:
(blank)
Did an operation precede death: (blank) Date: (blank)
Was there an autopsy: (blank)
What test confirmed diagnosis: (blank)
Signed/Address: Chas Sturgill, M.D., 19
December 1929, Garrett, Ky.
Place of Burial or Removal: Grisby Cemetery
Date of Burial: 22 December 1929
Undertaker/Address: (blank)
Transcribed by Debbie Tamborski, 28 March 2010 |
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