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DEATH
CERTIFICATE
HAROLD SMITH
Date 04 September 1935
Cert: 27733
Name: Harold SMITH
Place of Death: Voting Pct. Anco, Knott Co., KY
Residence: Anco, Ky.
Length of residence: Life
Male, White, Single
Husband or Wife of: (blank)
Birth Date: 11 October 1934
Age: 10 months, 23 days
Occupation: (blank)
Place of Birth: Anco, Ky.
Name of Father: Sam SMITH
Birthplace Father: Ky.
Maiden Name of Mother: Bertha ROBERSON
Birthplace Mother: Ky.
Informant: May COMBS, Anco, Ky.
Death Date: 04 September 1935
Cause of Death: Bilator Lobular Pneumonia
Contributory: Charyza acute bronchitis
Signed: Guy C. Pinckley, M.D., Anco, Ky.
Burial Place: Anco, Ky.
Date of Burial: 05 September 1935
Undertaker: H. Engle, Hazard, Ky.
File Date: 05 December 1935
Transcribed by Debbie Tamborski, 18 August 2009 |
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