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DEATH
CERTIFICATE
CASSIE BEATRICE STEWART
Date 23 January 1937
Cert: 8420
Name: Cassie Beatrice STEWART
Place of Death: Voting Pct. Lower Jones Fork, Lackey S.M.
Hospital, Knott Co., KY
Residence: Etty, Kentucky
Length of residence: (blank)
Female, White
Husband or Wife of: Infant
Birth Date: (blank)
Age: 04 years, 04 months, 11 days
Occupation: (blank)
Place of Birth: Etty, Kentucky
Name of Father: Melton STUART
Birthplace Father: Etty, Kentucky
Maiden Name of Mother: Anry BURKE
Birthplace Mother: Etty, Kentucky
Informant: Cassy BYREL, Weeksbury, Kentucky
Death Date: 23 January 1937
Cause of Death: Patient was burned from
flames of a gas heater, gown caught fire. Back, abdomen,
both arms and legs were burned
Signed: W. L. Stumbo, M.D., Lackey, Ky.
Burial Place: Etty, Ky.
Date of Burial: 25 Janaury 1937
Undertaker: G. D. Ryan, Martin, Ky.
File Date: 26 February 1937
Registrar: G. C. Collins
Transcribed by Debbie Tamborski, 04 October 2009 |
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