DEATH CERTIFICATE

JAMES SMITH

Date  28 November 1922
Cert: #  27760
Name:  James SMITH 
Place of Death: Voting Pct. Lower Ball, Knott Co., KY
Male, White, Married
Birth Date:  15 July 1867 
Age:  55 years, 04 months, 13 days
Occupation:  Farmer 
Place of Birth:  Perry Co., Ky.
Name of Father:  Isaace SMITH 
Birthplace Father:  Perry Co. 
Maiden Name of Mother:  Sitha STACY
Birthplace Mother:  Perry Co. 
Informant:  John SMITH, Talcum
Death Date:  28 November 1922 
Cause of Death:  (blank) 
Signed:  (blank)
Burial Place:  Richie Grave 
Date of Burial:  30 November 1922 
Undertaker:  Isaace Richie, Vest, Ky. 
File Date:  30 December 1922 
Transcribed by Debbie Tamborski, 18 February 2009