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DEATH
CERTIFICATE
JEFF SMITH
Date 26 September 1933
Cert: # 26471
Name: Jeff SMITH
Place of Death: Voting Pct. Anco, Knott Co., KY
Residence: Anco, Ky.
Male, White, Married
Husband or Wife of: (blank)
Birth Date: 20 February 1875
Age: 58 years, 07 months, 06 days
Occupation: Coal Roader
Place of Birth: Tenn.
Name of Father: (Illegible) SMITH
Birthplace Father: Tenn.
Maiden Name of Mother: Don't know
Birthplace Mother: Tenn.
Informant: wife Poppy SMITH, Anco, Ky.
Death Date: 26 September 1933
Cause of Death: (illegible)
Signed: J. W. Duke, M.D., Hindman, Ky.
Burial Place: Browns Fork Perry Co.
Date of Burial: 27 September 1933
Undertaker: John Everage, Sassafras, Ky.
File Date: (blank)
Transcribed by Debbie Tamborski, 15 July 2009 |
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