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DEATH
CERTIFICATE
JASPER SMITH
Date 07 January 1937
Cert: 5188
Name: Jasper SMITH
Place of Death: Voting Pct. Lackey, Stumbo Mem.
Hosp., Knott Co., KY
Residence: Hollybush, Ky.
Length of residence: (blank)
Male, White, Married
Husband or Wife of: Husband
Birth Date: (blank)
Age: 58 years
Occupation: Farmer
Place of Birth: Kentucky
Name of Father: John B. SMITH
Birthplace Father: Kentucky
Maiden Name of Mother: Elizebeth SLONE
Birthplace Mother: Kentucky
Informant: Monrow SLONE, Garrett, Kentucky
Death Date: 07 January 1937
Cause of Death: Car wreck
Signed: W. L. Stumbo, M.D., Lackey, Ky.
Burial Place: Lackey, Ky.
Date of Burial: 10 January 1937
Undertaker: G. D. Ryan, Martin, Ky.
File Date: 26 February 1937
Registrar: Dr. G. C. Collins, Lackey, Ky.
Transcribed by Debbie Tamborski, 04 October 2009 |
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