Date:   09 April 1941
Cert:   13041 
Place of Death: County: Knott   City or Town: Carrie, Ky. Rural
Street No. or Location:  own home
Length of stay in hospital or community: all life
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Carrie, Ky.    If rural, give precinct:  Carrie, Ky.
Full Name: Arnetta SMITH 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of:  Isacc SMITH
Age of husband or wife if alive: 41 years
Birth date of deceased:  not known
Age: about 36 years
Birthplace:  Pinetop, Ky., Knott Co.
Occupation:  Housework
Industry or business: Self
Father Name:  P. TAYLOR
Father Birthplace:  Knott Co., Ky. 
Mother Maiden Name:  Mary GIBSON
Mother Birthplace:  Knott Co., Ky.
Informant:  Isaac SMITH, Carrie, Ky.
Burial Place:  Carrie, Ky.
Date:  10 April 1941
Signature of funeral director: (blank)
Date received by local registrar:  13 May 1941
Registrar's Signature:  Macie Miller
Date of Death:  09 April 1941
I hereby certify that I attended deceased from 08 April 1941 to 09 April 1941, that I last saw her alive on 08 April 1941, and that death occurred on the date stated above at 7 p.m.
Immediate cause of death:  Flue
Duration: 01 week
Due to: (blank) 
Other conditions:  Pregnant 9th month
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Mark Dempsey, M.D., Hindman, Ky.
Date signed:  10 May 1941
Transcribed by Debbie Tamborski, 15 October 2010