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DEATH
CERTIFICATE
ALEXANDER SMITH
Date: 06 October 1949
Cert: 21330
Place of Death: County: Letcher City or Town:
Rural
Length of stay (in this place): (blank)
Street No. or Location: Millstone
Usual Residence of Deceased: State: Ky. County:
Letcher
City or Town: Rural (Upper Millstone) Street Address:
Millstone P.O.
Full Name: Alexander SMITH
Date of Death: 06 October 1949
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 06 February 1892
Age: 57 years, 08 months, 00 days
Usual Occupation: Miner
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: William SMITH
Mother's Maiden Name: Nancy SMITH
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Mrs. Alex SMITH
Disease or condition directly leading to death: Lobar
Pneumonia
Interval between onset and death: (blank)
Due to: Exertion
Other significant conditions: Flatulence
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: no
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 02 October 1949 to
06 October 1949, that I last saw the deceased alive on 05
October 1949, and
that death occurred at 7:30 p.m., from the causes and on the
date stated above.
Date signed: 11 October 1949
Address: Neon, Ky.
Signature: D. V. Bentley, M.D.
Burial, Cremation or Removal: Burial
Date: 09 October 1949
Name of Cemetery or Crematory: Whitaker Cemetery
Location: Whitaker, Ky., Seco, Ky.
Date received by local registrar: 11 October 1949
Registrar's Signature: E. M. Collins
Funeral director & address: Craft Funeral Home,
Neon, Ky.
Transcribed by Debbie Tamborski, 13 July 2010 |
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