DEATH CERTIFICATE

ELIZABETH SMITH

Date    01 September 1914
Deathvol Vol:   1914
Cert: #  24012
Name:  Elizabeth SMITH
Female, White, Married
Age:  80 years
Place of Death: Voting Pct. No. 6, Knott Co., KY
Birth Date:  1834                                                        Occupation:  Housewife
Place of Birth:  Knott, Ky.
Father:  Tom STACY                                                   Birthplace Father:  don't know
Mother:  Sallie COMBS                                                      Birthplace Mother:  Don't know
Informant:  Hiram ADAMS, Smithsboro, Ky.
Death Date:  01 September 1914
Cause of Death:  Erysiplas
Signed:  F. C. Roark, M.D.
Burial Place:  Shade Smiths
Undertaker:  Hiram Adams, Smithsboro, Ky.
File Date: 05 August 1914
Transcribed by Debbie Tamborski, 28 July 2008