DEATH CERTIFICATE

ANDREW SMITH

Date  06 March 1937
Cert:  Duplicate #8416     Original #8415     
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:  04 February 1845
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 & influenza 
Signed:  M. F. Kelley, M.D., Hindman, Ky.
Burial Place:  Smith Cemetery
Date of Burial:  07 March 1937
Undertaker:  John M. Smith, Leburn, Ky.
File Date:  15 March 1937
Registrar:  Rhoda C. Kelley
Transcribed by Debbie Tamborski, 04 October 2009