DEATH CERTIFICATE

HARVEY SMITH

Date    11 April 1911
Deathvol Vol:   1911
Cert: # 10813
Name: Harvey SMITH
Male, White, Married
Age: 41 years, 1 month
Place of Death: Voting Pct. No. 3, Perry Co., KY
Birth Date: 11 March 1870
Place of Birth: Perry Co., Ky.
Father: Joshua SMITH                                                 Birthplace Father: Perry Co., Ky.
Mother: Amy HOLLIDAY                                                       Birthplace Mother: Perry Co., Ky.
Informant: Larkin SMITH
Death Date: 11 April 1911
Cause of Death: Tuberculosis
Signed:  S. M. Richie, M.D.
Burial Place: Smith Cemetery
Undertaker: Thomas Kelley
File Date: Not Listed
Transcribed by Debbie Tamborski, 25 June 2008