Date:    16 October 1946
Cert:    11583 
Place of Death: County: Knott   City or Town: Lackey, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky    County: Knott
City or Town:  Lackey     Rural 
Full Name:  Irvin SMITH 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Male, White, Widowed 
Husband or Wife of:  Margaret SMITH
Age of husband or wife if alive: 73 years
Birth date of deceased:  15 October 1865 
Age:  81 years, 00 months, 01 days
Birthplace:  Perry Co.
Occupation:  Farmer 
Industry or business:  (blank)
Father Name:  Richard SMITH
Father Birthplace: Perry Co. 
Mother Maiden Name:  Frankie SMITH 
Mother Birthplace:   Perry Co. 
Informant:   Cynthia SMITH, Lackey, Ky. 
Burial Place:   Lackey 
Date:  17 October 1946 
Signature of funeral director:  No Undertaker
Date received by local registrar: 27 May 1947 
Registrar's Signature:  Rose B. Craft
Date of Death:  16 October 1946 
I hereby certify that I attended deceased from 01 October 1946 to 16 October 1946, that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death:  Senility & Kidney Trouble
Duration: (blank)
Due to:  (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  M. M. Collins, M.D., Lackey, Ky.
Date signed:  27 May 1947 
Transcribed by Debbie Tamborski, 15 December 2010