DEATH CERTIFICATE

DAVID B. SMITH

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