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DEATH
CERTIFICATE
ELIAS SMITH
Date: 18 April 1953
Cert: 26650
Place of Death: County: Floyd City or Town:
Garrett
Length of stay (in this place): (blank)
Street address or location: On Stone Coal
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Garrett Street Address:
On Stone Coal
Full Name: Elias SMITH
Date of Death: 18 April 1953
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: unknown
Age: 85 years
Usual Occupation: Farmer
Kind of Industry or business: none
Birthplace: Knott Co., Ky.
Father's Name: unknown
Mother's Maiden Name: unknown
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Andrew RITCHIE
Disease or condition directly leading to death: Lobar
Pneumonia
Interval between onset and death: 04 days
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: no
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 17 April 1953 to
17 April 1953, that I last saw the deceased alive on 17 April
1953, and
that death occurred at 2 a.m., from the causes and on the
date stated above.
Date signed: 22 April 1953
Address: Garrett, Ky.
Signature: Mark Dempsey, M.D.
Burial, Cremation or Removal: Burial
Date: 19 April 1953
Name of Cemetery or Crematory: Family
Location: Garner, Knott Co., Ky.
Date received by local registrar: 15 January 1954
Registrar's Signature: Lucy Ransdell
Funeral director & address: Hall Bros., Martin, Ky.
Transcribed by Debbie Tamborski, 13 August 2010 |
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