Date: 18 September 1947
Cert: 20407
Place of Death: County: Knott City or
Town: Rural
Street Number of Location: Near Hindman
Length of stay in hospital or community: Life
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Hindman Rural
Full Name: Estill B. SMITH
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Married
Husband or Wife of: Stella SMITH
Age of husband or wife if alive: 37 years
Birth date of deceased: 27 January 1906
Age: 41 years, 07 months, 21 days
Birthplace: Knott Co., Ky.
Occupation: Merchant
Industry or business: (blank)
Father Name: J. B. SMITH
Father Birthplace: Ky.
Mother Maiden Name: Matilda PIGMAN
Mother Birthplace: Ky.
Informant: Stella SMITH, Hindman, Ky.
Burial Place: Hindman
Date: 19 September 1947
Signature of funeral director: Joe Greer, Hazard, Ky.
Date received by local registrar: 28 September 1947
Registrar's Signature: Rose B. Craft
Date of Death: 18 September 1947
I hereby certify that I attended deceased from 01 August 1947 to
18 September 1947, that I last saw him alive on 16 September
1947, and that death
occurred on the date stated above at 1 a.m.
Immediate cause of death: T. B. of the lungs
Duration: (blank)
Due to: (blank)
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: M. F. Kelley, M.D., Hindman,
Ky.
Date signed: 23 September 1947
Transcribed by Debbie Tamborski, 20 December 2010 |