Date:  15 November 1940
Cert:  26567
Place of Death: County: Knott     City or Town: Carrie
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County: Knott
City or Town:  Carrie
Full Name:  Elwood SMITH
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  16 March 1940
Age: 08 months
Birthplace:  Knott Co.
Occupation:  (blank)
Industry or business: (blank)
Father Name:  Dan SMITH
Father Birthplace:  Carrie, Knott Co.
Mother Maiden Name:  Mae SMITH
Mother Birthplace:  Perry Co.
Informant:  Arminda DAVIDSON, Carrie, Ky.
Burial Place:  Carrie, Ky.
Date:  16 November 1940
Signature of funeral director: Family, Carrie
Date received by local registrar:  19 November 1940
Registrar's Signature:  Macie Miller
Date of Death:  15 November 1940
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death:  Pneumonia
Duration: (blank) 
Due to: Whooping Cough
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:  18 November 1940
Transcribed by Debbie Tamborski, 06 October 2010