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DEATH
CERTIFICATE
GRACEY SMITH
Date 05 January 1918
Cert: # 1975
Name: Gracey SMITH
Girl, White
Age: 01 years, 09 months
Place of Death: Voting Precinct #5, Knott Co., KY
Birth Date: 16 March 1916
Occupation: non
Place of Birth: Ky.
Name of Father: Samuel SMITH
Birthplace Father: Ky.
Maiden Name of Mother: Nancey SINGLETON
Birthplace Mother: Ky.
Informant: Larence WILLIAMS, Cordia, Ky.
Death Date: 05 January 1918
Cause of Death: Membran croup no doctor in attendance
Signed: (blank)
Burial Place: (blank)
Date of Burial: 06 January 1918
Undertaker: (blank)
File Date: 09 January 191_
Transcribed by Debbie Tamborski, 22 November 2008 |
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