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DEATH
CERTIFICATE
Samuel Stacy
Cert: 10023
Name: Samuel Stacy
Male, White, Married
Age: 36
Occupation: Miner
Place of Death: Hurst-Snyder Hospital, Hazard, Ky
Birth Date: 24 Jan 1906
Place of Birth: Breathitt Co., Ky
Spouse: Leanna Stacy
Father: Will Stacy, Breathitt Co.
Mother: Hanna Francis, Breathitt Co.
Informant: Leanna Stacy, Darfork, Ky
Death Date: 10 March 1942
Cause of Death: Ruptured Gastric Ulcer
Signed: Chas. D. Snyder, M. D. Hazard, Ky
Burial Place: Bulan, Ky
Undertaker: Maggard & Garrett, Hazard, Ky
File Date: 11 March 1942
Transcribed by John F. "Freddie" Wilson
17 May 2005
Samuel s/o James wilson Stacy & Hannah Francis; married
Leanna Gayheart 1940 Perry Co. |
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