DEATH CERTIFICATE

DANIEL SMITH

Date  26 October 1920
Cert: #  25119
Name:  Daniel SMITH 
Place of Death: Voting Pct. #5, Knott Co., KY
Male, White
Birth Date: 1845
Age:  75 years
Occupation:  Farmer
Place of Birth:  Ky.
Name of Father:  Sam SMITH 
Birthplace Father:  Ky.
Maiden Name of Mother:  Nancy JONES
Birthplace Mother:  Ky.
Informant:  Jackson SMITH, Elic, Ky.
Death Date:  26 October 1920 
Cause of Death:  Hart dropsey [sic]
Signed:  M. F. Kelley, M.D.
Burial Place:  Ritchie Ky.
Date of Burial:  27 October 1920 
Undertaker:  (blank)
File Date:  (blank)
Transcribed by Debbie Tamborski, 18 February 2009