DEATH CERTIFICATE

CHESTER SMITH

Date:    20 July 1945
Cert:    15268 
Place of Death: County: Knott   City or Town: Rural Decoy, Ky.
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Decoy     Rural 
Full Name:   Chester SMITH
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:   Male, White, Married
Husband or Wife of:  Tennie SMITH
Age of husband or wife if alive: 34 years
Birth date of deceased:  13 June  (blank)
Age:  35 years, 01 months, 07 days
Birthplace:  Knott Co. 
Occupation:  Farmer 
Industry or business:  (blank)
Father Name:  Wise SMITH 
Father Birthplace:  Kentucky 
Mother Maiden Name:  Teely SHEPHARD 
Mother Birthplace:   Kentucky 
Informant:   Sam BRADLEY, Decoy, Ky. 
Burial Place:   Decoy, Ky. 
Date:  21 July 1945 
Signature of funeral director: None Supplies - Ray & Blake, Jackson, Ky.
Date received by local registrar: 24 July 1945 
Registrar's Signature:  Rose B. Craft
Date of Death:  20 July 1945 
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at 12 N
Immediate cause of death:  Drowned 
Duration: (blank)
Due to:  Epileptic fit
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:  J. W. Duke, M.D., Hindman
Date signed:  23 July 1945 
Transcribed by Debbie Tamborski, 30 November 2010