DEATH CERTIFICATE

DANIEL SMITH

Date  20 October 1920
Cert: #  27714
Name:  Daniel SMITH 
Place of Death: Voting Pct. #9, Knott Co., KY
Male, White, Single
Birth Date:  10 May 1840
Age:  80 years, 05 months, 10 days
Occupation:  Farmer
Place of Birth:  Kentucky
Name of Father:  Sam SMITH 
Birthplace Father:  Kentucky 
Maiden Name of Mother:  Nancy OWENS
Birthplace Mother:  Kentucky 
Informant:  (blank)
Death Date:  20 October 1920 
Cause of Death:  Incompenten of the heart [sic]
Signed:  M. F. Kelley, M.D.
Burial Place:  Smith Cemetery 
Date of Burial:  21 October 1920 
Undertaker:  H. S. Short, Talcum, Ky. 
File Date:  05 December 1920 
Transcribed by Debbie Tamborski, 18 February 2009