DEATH CERTIFICATE

ASHFORD SMITH

Date:  20 March 1956
Cert: #56-14783
Place of Death: County: Knott      City or Town: Gunlock Rural
Length of stay (in this place): (blank)
Full Name of Hospital or Institution:  (blank)
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  Gunlock     Street Address: (blank)
Full Name:  Ashford SMITH 
Date of Death:   20 March 1956 
Sex, Color or Race, Marital Status:  Male, White, Married
Date of Birth:  07 April 1890 
Age:  65 years
Usual Occupation:  Farmer
Kind of Industry or business: (blank)
Birthplace:  Ky.
Father's Name:   Irvin SMITH 
Mother's Maiden Name:   Margaret BRADLEY
Was deceased ever in armed forces:  (blank)
Social Security No.: (blank)
Informant:  Claude SMITH 
Disease/condition directly leading to death: Cerebral Hemorrhage
Interval between onset and death:  (blank)
Due to (b):  Hypertension
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to (blank), that I last saw the deceased alive on (blank), and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  (blank)
Address:  (blank) 
Signature:  John J. Shearman, M.D. 
Burial, Cremation or Removal: Burial
Date:  21 March 1956
Name of Cemetery or Crematory:  Bailey
Location:  Gunlock, Ky.
Date received by local registrar:  24 July 1956
Registrar's Signature: Myrtle Slone
Funeral director & address:  B. C. Hall, Martin, Ky.
Transcribed by Debbie Tamborski, 04 April 2012