Date:    19 October 1945
Cert:    26578 
Place of Death: County: Knott  City or Town: Talcum, Ky. Rural 
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town:  Talcum     Rural 
Full Name:   Jesse SMITH 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Male, White, Widowed
Husband or Wife of:  Jessie SMITH
Age of husband or wife if alive: 66 years
Birth date of deceased:  05 December 1878 
Age:  66 years, 10 months, 14 days
Birthplace:  Perry Co., Ky. 
Occupation:  Farmer 
Industry or business:  (blank)
Father Name:  Shade SMITH 
Father Birthplace:  Perry Co., Ky. 
Mother Maiden Name:   Eliza HOLIDAY 
Mother Birthplace:   Perry Co., Ky. 
Informant:  Ode SMITH, Dwarf, Ky. 
Burial Place:   Holiday Cem. 
Date:  19 October 1945 
Signature of funeral director:  Henry Combs, Talcum, Ky.
Date received by local registrar:  (blank) 
Registrar's Signature:  (blank)
Date of Death:  19 October 1945 
I hereby certify that I attended deceased from 13 October 1945 to 19 October 1945, that I last saw him alive on 13 October 1945, and that death occurred on the date stated above at 2 p.m.
Immediate cause of death:  T. B. of the lungs 
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. F. Kelley, M.D., Hindman, Ky.
Date signed:  29 October 1945 
Transcribed by Debbie Tamborski, 30 November 2010