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DEATH
CERTIFICATE
ARNOLD SMITH
Date 08 February 1939
Cert: 11205
Place of Death: Voting Pct.: Hazard, Perry Co., Ky.
Full Name: Arnold SMITH
Residence: Hazard, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: (blank)
Date of Birth: 09 March 1912
Age: 27 years
Occupation: Mining
Birthplace: Knott Co., Ky.
Father Name: J. S. SMITH
Birthplace Father: Ky.
Mother Maiden Name: Elizabeth BREEDING
Birthplace Mother: Ky.
Informant/Address: Hazard Homeplace, Hazard, Ky.
Filed: 04 April 1939
Registrar: Virginia Combs
Death of Date: 08 February 1939
I hereby certify that I attended deceased from 04 February
1939 to 08 February 1939, that I last saw him alive on 08
February 1939, and that death occurred on the date stated
above at (illegible)
Cause of Death: Myocarditis & acute dilatition
Duration: (blank)
Contributory: (blank)
Duration: (blank)
Where was disease contracted if not at place of death?:
(blank)
Did an operation precede death: No
Date: (blank)
Was there an autopsy: No
What test confirmed diagnosis: Clinical
Signed/Address: J. E. Hagan, M.D., Hazard, Ky.
Place of Burial or Removal: Smithsboro, Ky.
Date of Burial: 10 February 1939
Undertaker/Address: Frank Bailey, Hazard, Ky.
Transcribed by Debbie Tamborski, 05 May 2010 |
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