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DEATH
CERTIFICATE
CARLIS SMITH
Date 29 March 1929
Cert: # 12655
Name: Carlis SMITH
Place of Death: Voting Pct. #16, Knott Co., KY
Male, White, Single
Birth Date: 03 November 1913
Age: 16 years
Occupation: Farm labor
Place of Birth: Ky.
Name of Father: Cleve SMITH
Birthplace Father: Ky.
Maiden Name of Mother: Alce STACY
Birthplace Mother: Ky.
Informant: (blank)
Death Date: 29 March 1929
Cause of Death: Pneumony fever or flue
Signed: Alice Smith, M.D.
Burial Place: Mart Gay
Date of Burial: 01 April 1929
Undertaker: (blank)
File Date: (blank)
Transcribed by Debbie Tamborski, 16 February 2009 |
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