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DEATH
CERTIFICATE
CLAUD EDWIN SMITH
Date 23 January 1935
Cert: 12802
Name: Claud Edwin SMITH
Place of Death: Voting Pct. Upper Jones Fork, Knott Co., KY
Residence: Mousie, Ky.
Length of residence: (blank)
Male, White
Husband or Wife of: (blank)
Birth Date: 13 October 1934
Age: 00 years, 03 months, 10 days
Occupation: (blank)
Place of Birth: Knott Co., Ky.
Name of Father: John B. SMITH
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Rosy STURGILL
Birthplace Mother: Knott Co., Ky.
Informant: J. B. SMITH, Mousie, Ky.
Death Date: 23 January 1935
Cause of Death: Wooping cough and pneumonia fever
Signed: no doctor
Burial Place: Sturgill Cemetery
Date of Burial: 24 January 1935
Undertaker: none
File Date: 08 June 1935
Transcribed by Debbie Tamborski, 18 August 2009 |
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