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DEATH
CERTIFICATE
HENRY SMITH
Date 14 December 1921
Cert: # 04449
Name: Henry SMITH
Place of Death: Voting Pct. #1 Leburn, Knott Co., KY
Male, White, Married
Birth Date: 07 June 1889
Age: 32 years, 06 months, 07 days
Occupation: Minor
Place of Birth: Knott Co., Ky.
Name of Father: Andrew SMITH
Birthplace Father: Kentucky
Maiden Name of Mother: Nancy MOORE
Birthplace Mother: Kentucky
Informant: (blank)
Death Date: 14 December 1921
Cause of Death: Tuberculosis of the larynx
Signed: M. F. Kelley, M.D.
Burial Place: Smith Cemetery
Date of Burial: 15 December 1921
Undertaker: John M. Smith, Leburn, Ky.
File Date: 06 March 1922
Transcribed by Debbie Tamborski, 18 February 2009 |
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