Date:  23 May 1955
Cert:  #12148
Place of Death: County: Knott  City or Town: Smithboro - Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town: Smithboro - Rural     Street Address: (blank)
Full Name:  Benjamin SMITH
Date of Death:  23 May 1955
Sex, Color or Race, Marital Status: Male, White, Widowed
Date of Birth:  29 January 1866
Age: 89 years 
Usual Occupation: Carpenter
Kind of Industry or business: (blank)
Birthplace:  Knott Co., Ky.
Father's Name:  Jake SMITH
Mother's Maiden Name:  Betty STACY
Was deceased ever in armed forces:  No
Social Security No.: (blank)
Informant:  Elizabeth DEATON
Disease/condition directly leading to death: Acute Heart Failure
Interval between onset and death:  Instant
Due to:  Coronary Thrombosis
Other significant conditions: Senility
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 23 May 1955 to 23 May 1955, that I last saw the deceased alive on 23 May 1955, and that death occurred at 7 p.m., from the causes and on the date stated above.
Date signed:  06 June 1955
Address:  Allock
Signature:  A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date:  26 May 1955
Name of Cemetery or Crematory:  Jerry Smith
Location:  Smithboro, Ky.
Date received by local registrar: 07 June 1955
Registrar's Signature: Myrtle Slone
Funeral director & address:  John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 14 May 2011