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DEATH
CERTIFICATE
GRACIE B. SMITH
Date 26 August 1920
Cert: # 20804
Name: Gracie B. SMITH
Place of Death: Voting Pct. #1 Spider, Knott Co., KY
Female, White, Single
Birth Date: 26 August 1920 (transcribed as written)
Age: 04 months, 20 days
Occupation: (blank)
Place of Birth: Knott County, Ky.
Name of Father: A. B. SMITH
Birthplace Father: Knott County, Ky.
Maiden Name of Mother: Bertha AMBURGEY
Birthplace Mother: Knott County, Ky.
Informant: A. B. SMITH, Spider, Ky.
Death Date: 26 August 1920
Cause of Death: Dipthera [sic]
Signed: M. F. Kelley, M.D.
Burial Place: (blank)
Date of Burial: (blank)
Undertaker: (blank)
File Date: 29 August 1920
Transcribed by Debbie Tamborski, 18 February 2009 |
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