DEATH CERTIFICATE
POLLY HUGHS

Date   21 January 1923
Cert: #  2150 
Name:  Polly HUGHS 
Place of Death: Voting Pct. Pinetop, Knott Co., KY
Female, White, Married
Birth Date:  10 December 1839 
Age:  84 years, 01 months, 07 days
Occupation:  Housewife
Place of Birth:  Kentucky
Name of Father:  Sim SMITH 
Birthplace Father:  Kentucky 
Maiden Name of Mother:  Nancy JOHNSON
Birthplace Mother:  Kentucky 
Informant:  (blank)
Death Date:  21 January 1923 
Cause of Death:  Influenza 
Signed:  M. F. Kelley, M.D.
Burial Place:  Slone Cemetery 
Date of Burial:  22 January 1923 
Undertaker:  Henry Hughes, Pinetop, Ky. 
File Date:  10 February 1923 
Transcribed by Debbie Tamborski, 13 January 2009