Date: 05 November 1945
Cert: 26573
Place of Death: County: Knott City or
Town: Pinetop, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Pinetop Rural
Full Name: David B. SMITH
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Widowed
Husband or Wife of: Susan PIGMAN SMITH
Age of husband or wife if alive: (blank)
Birth date of deceased: 16 October 1887
Age: 58 years, 00 19 months, days
Birthplace: Knott Co., Ky.
Occupation: Farmer
Industry or business: (blank)
Father Name: John B. SMITH
Father Birthplace: Kentucky
Mother Maiden Name: Phoebe STURGILL
Mother Birthplace: Kentucky
Informant: Versie BAILEY, Hindman, Ky.
Burial Place: Pinetop, Ky.
Date: 06 November 1945
Signature of funeral director: Friends, Pinetop, Ky.
Date received by local registrar: 14 December 1945
Registrar's Signature: Rose B. Craft
Date of Death: 05 November 1945
I hereby certify that I attended deceased from Early 1944 to
1945, that I last saw him alive on 30 October 1945, and that
death occurred on the date stated above at 2 a.m.
Immediate cause of death: (blank)
Duration: (blank)
Due to: Cancer
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. W. Duke, M.D., Hindman
Date signed: 14 December 1945
Transcribed by Debbie Tamborski, 30 November 2010 |