DEATH CERTIFICATE

SMITH

Date  26 May 1911
Deathvol 
Vol:   1911
Cert: # 12921
Name: SMITH
Male, White,
Age: Stillbirth
Place of Death: Voting Pct No. #9, Vest, Knott Co., KY
Birth Date:  26 May 1911
Place of Birth:  Knott Co., KY
Father:  Rich SMITH
Mother:  Sarah STURGILL
Informant:  J.D. Martin
Death Date:  26 May 1911
Cause of Death:  Stillbirth
Signed:   Jane H. ?___?, M.D.
Burial Place:  Smith Grave
Undertaker:  Not Listed
File Date:  28 May 1911
Transcribed by Debbie Tamborski, 3 May 2008