DEATH CERTIFICATE

ALFRED SMITH

Date:  05 May 1950
Cert:  10348 
Place of Death: County: Knott      City or Town: Rural
Length of stay (in this place): 08 years
Street address or location:  Bath, Ky.
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Rural     If rural give precinct:  Bath, Ky.
Full Name:  Alfred SMITH
Date of Death:  05 May 1950
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  unknown
Age:  app. 80 years
Usual Occupation: Farmer
Kind of Industry or business: Farming
Birthplace:  Morgan Co., Ky.
Father's Name:  Hiram SMITH
Mother's Maiden Name:  Polly LEWIS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Rachel SMITH
Disease or condition directly leading to death: Chronic Nephritis
Interval between onset and death:  (blank)
Due to:  Kidney Disease
Other significant conditions: (blank)
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 20 April 1950 to 05 May 1950, that I last saw the deceased alive on 03 May 1950, and that death occurred at 2 p.m., from the causes and on the date stated above.
Date signed:  18 May 1950
Address:  Hindman, Ky.
Signature:  M. F. Kelley
Burial, Cremation or Removal:  Burial
Date:  07 May 1950
Name of Cemetery or Crematory:  Family
Location:  Bath, Ky.
Date received by local registrar: 18 May 1950
Registrar's Signature:  Rose B. Craft
Funeral director & address: Hindman Funeral Home J. N. Taul
Transcribed by Debbie Tamborski, 17 January 2011