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DEATH
CERTIFICATE
HILLARD JACKSON SMITH
Date: 07 October 1948
Cert: 20259
Place of Death: County: Fayette City or Town: Lexington
Hospital or Institution: Saint Joseph's Hospital
Length of stay in hospital or community: 04 days
Usual Residence of Deceased: State: Kentucky
County: Letcher
City or Town: Whitesburg, Ky.
Full Name: Hillard Jackson SMITH
If Veteran Name War: no
Social Security No.: no
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 02 September 1944
Age: 04 years, 01 months, 05 days
Birthplace: Knott Co., Kentucky
Occupation: None
Industry or business: (blank)
Father Name: Richard SMITH
Father Birthplace: Kentucky
Mother Maiden Name: Gladys NOBLE
Mother Birthplace: Kentucky
Informant: Gladys N. SMITH, Whitesburg, Ky.
Burial Place: Knott Co., Ky.
Date: 09 October 1948
Signature of funeral director: D. M. Lowe, Lexington,
Ky.
Date received by local registrar: 12 October
1948
Registrar's Signature: D. A. Furlong
Date of Death: 07 October 1948
I hereby certify that I attended deceased from 04 October 1948 to
07 October 1948, that I last saw him alive on 07 October 1948, and that death
occurred on the date stated above at 4:50 p.m.
Immediate cause of death: Tuberculous meningitis
Duration: (blank)
Due to: (blank)
Major findings of operations: Mild hydrocephalus.
Clear ventricular fluid Of autopsy:
Tuberculous meningitis
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Harvey Chenault, M.D., 200 West
Second St., Lexington, Kentucky
Date signed: 11 October 1948
Transcribed by Debbie Tamborski, 01 July 2010 |
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