|
DEATH
CERTIFICATE
DARRELL JAY SMITH
Date 30 September 1939
Cert: 27958
Name: Darrell Jay SMITH
Place of Death: Voting Pct. Ball Branch, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Male, White
Husband or Wife of: (blank)
Birth Date: 18 September 1939
Age: 12 days
Occupation: non
Place of Birth: Mousie, Ky.
Name of Father: Dennis SMITH
Birthplace Father: Yellow Mt., Ky.
Maiden Name of Mother: Hermie HUFF
Birthplace Mother: Mousie, Ky.
Informant: Dennis SMITH, Mousie, Ky.
Death Date: 30 September 1939
Cause of Death: Acute Nephritis
Signed: T. J. Chandler, M.D., Lackey, Ky.
Burial Place: Ball Branch
Date of Burial: 31 September 1939 (transcribed as
written)
Undertaker: (blank)
File Date: 06 November 1939
Registrar: J. F. Combs
Transcribed by Debbie Tamborski, 21 November 2009 |
|