DEATH CERTIFICATE

ANDREW B. SMITH

Date:    07 December 1944
Cert:    13011 
Place of Death: County: Knott   City or Town:  De Coy (Rural)
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky  County: Knott
City or Town:  Decoy (rural) 
Full Name:  Andrew B. SMITH 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Male, White, Married
Husband or Wife of:  Mahala STACY SMITH
Age of husband or wife if alive: 71 years
Birth date of deceased:   Unknown 
Age:  77 years
Birthplace:  Perry County, Ky. 
Occupation:   Farmer 
Industry or business: (blank)
Father Name:  Richard SMITH 
Father Birthplace:  Kentucky 
Mother Maiden Name:  Frankie MILLER 
Mother Birthplace:  Kentucky 
Informant:    Jerry SMITH, De Coy, Kentucky
Burial Place:  De Coy, Ky. 
Date:  09 December 1944 
Signature of funeral director:  none
Date received by local registrar:  (blank) 
Registrar's Signature:  (blank)
Date of Death:  07 December 1944 
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death:  Apoplexy 
Duration: (blank)
Due to:  (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  J. W. Duke, M.D., Hindman, Ky.
Date signed:  22 March 1945 
Transcribed by Debbie Tamborski, 22 November 2010