DEATH CERTIFICATE

JEREMIAH SMITH

Date    17 February 1914
Deathvol Vol:   1914
Cert: # 4821
Name: Jeremiah SMITH
Male, White, Married
Age: 84 years, 1 months, 1 days
Place of Death: Voting Pct. No. 6, Knott Co., KY
Birth Date: 16 January 1830                                      Occupation: Farmer
Place of Birth: Knott Co., Ky.
Father: Wm. SMITH                                                  Birthplace Father: Letcher Co., Ky.
Mother: Milley SMITH                                                      Birthplace Mother: Letcher Co., Ky.
Informant: Shade SMITH, Cody, Ky.
Death Date: 17 February 1914
Cause of Death: Pneumonia Fever
Signed:  G. D. Ison, M.D.
Burial Place: Smith Grave
Undertaker: Shade Smith, Cody, Ky.
File Date: 18 February 1914
Transcribed by Debbie Tamborski, 28 July 2008