Date:   01 April 1941
Cert:   10606 
Place of Death: County: Knott Co.   City or Town: Lackey, Ky.
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Floyd
City or Town:  Garrett
Full Name:  Becky SMITH
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of:  John SMITH
Age of husband or wife if alive:  48 years
Birth date of deceased:  08 January 1892
Age: 49 years
Birthplace:  Floyd Co., Ky.
Occupation:  Domestic
Industry or business: (blank)
Father Name:  Thomas STEPHENS
Father Birthplace:  Eastern, Russell Co., Va.
Mother Maiden Name:  Anna SAUNDERS
Mother Birthplace:  Pike Co., Ky.
Informant:  Andy STEVENS, Brandy Keg, Ky.
Burial Place:  Allen, Ky.
Date:  02 April 1941
Signature of funeral director: O. T. Lemaster, Martin, Ky.
Date received by local registrar:  08 April 1941
Registrar's Signature:  Macie Miller
Date of Death:  01 April 1941
I hereby certify that I attended deceased from 30 March to 01 April 1941, that I last saw her alive on 01 April 1941, and that death occurred on the date stated above at 4:20 p.m.
Immediate cause of death:  Pulmonary tuberculosis
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: W. L. Stumbo, Lackey
Date signed:  (blank)
Transcribed by Debbie Tamborski, 15 October 2010