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DEATH
CERTIFICATE
ANDREW SMITH
Date 06 March 1937
Cert: Original #8415 Duplicate
#8416
Name: Andrew SMITH
Place of Death: Voting Pct. Leburn, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Male, White, Widowed
Husband or Wife of: Sally SMITH
Birth Date: (blank)
Age: 92 years, 01 months, 12 days
Occupation: Farmer
Place of Birth: Kentucky
Name of Father: Simeon SMITH
Birthplace Father: Kentucky
Maiden Name of Mother: Sally MOORE
Birthplace Mother: Kentucky
Informant: John M. SMITH, Leburn, Ky.
Death Date: 06 March 1937
Cause of Death: Senility and influenza
Signed: M. F. Kelley, M.D., Hindman, Ky.
Burial Place: Smith Cem.
Date of Burial: 07 March 1937
Undertaker: J. M. Smith, Leburn, Ky.
File Date: 15 March 1937
Registrar: Rhoda C. Kelley
Transcribed by Debbie Tamborski, 04 October 2009 |
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