DEATH CERTIFICATE

(stillbirth) SMITH

Date    18 September 1915
Deathvol Vol:   1915
Cert: # 22973
Name: (stillbirth) SMITH
Male, White, Single
Age: stillbirth
Place of Death: Voting Pct. Lower Troublesome, Knott Co., KY
Birth Date: 18 September 1915
Place of Birth: Knott Co., Ky.
Father: Cleveland SMITH                                                  Birthplace Father: Kentucky
Mother: Alice STACY                                                    Birthplace Mother: Kentucky
Informant: Cleveland SMITH, Hazard, Ky.
Death Date: 18 September 1915
Cause of Death: Long delayed labor Contributory: Midwife
Signed:  Smithfield Keffer, M.D.
Burial Place: (Blank)
Undertaker: (Blank)
File Date: 13 October 1915
Transcribed by Debbie Tamborski, 03 August 2008